| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
432 |
387 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
225 |
225 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
149 |
148 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
106 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$480.78 |
| 99173 |
|
13 |
13 |
$30.29 |