| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,136 |
924 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
390 |
317 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
596 |
449 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
76 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
82 |
$5K |
| 92551 |
|
500 |
448 |
$3K |
| 36410 |
|
464 |
322 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
42 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
24 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
117 |
103 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
163 |
141 |
$1K |
| 99173 |
|
585 |
450 |
$907.71 |
| 90688 |
|
98 |
82 |
$0.00 |