| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,471 |
1,306 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
346 |
310 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
220 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,016 |
982 |
$24K |
| 90461 |
|
619 |
596 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
150 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
102 |
$1K |