| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267 |
254 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
83 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
65 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
34 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
266 |
262 |
$972.45 |
| 90670 |
|
50 |
50 |
$836.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
79 |
77 |
$623.59 |
| 90461 |
|
140 |
138 |
$391.32 |
| 90648 |
|
33 |
33 |
$363.08 |
| 90723 |
|
20 |
20 |
$274.37 |
| 96127 |
|
55 |
55 |
$245.98 |
| 90686 |
|
21 |
21 |
$243.61 |
| 99173 |
|
102 |
101 |
$240.87 |
| 90681 |
|
12 |
12 |
$221.90 |