| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,350 |
1,096 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
280 |
259 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
55 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
38 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
35 |
$3K |
| 90461 |
|
96 |
94 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
171 |
165 |
$1K |