| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
56 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$769.16 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
41 |
$425.99 |
| 90461 |
|
18 |
18 |
$332.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$70.32 |