| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
61 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
57 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$550.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$164.90 |
| 96127 |
|
21 |
21 |
$81.06 |