| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
647 |
607 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
525 |
517 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 90686 |
|
161 |
161 |
$999.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
89 |
78 |
$290.84 |
| 99177 |
|
29 |
28 |
$191.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
76 |
$166.25 |
| 99051 |
|
73 |
73 |
$82.46 |