| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,135 |
1,014 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
168 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
71 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
109 |
108 |
$909.43 |
| 90686 |
|
16 |
16 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |