| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
564 |
499 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
245 |
229 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
413 |
297 |
$10K |
| 99383 |
|
152 |
113 |
$10K |
| 99382 |
|
109 |
66 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
73 |
$5K |
| 90461 |
|
268 |
197 |
$5K |
| 99384 |
|
62 |
32 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
73 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
114 |
$2K |
| 99381 |
|
38 |
27 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
35 |
$568.52 |
| 96127 |
|
40 |
22 |
$110.86 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$88.80 |
| 99173 |
|
228 |
148 |
$0.00 |
| 90686 |
|
38 |
14 |
$0.00 |
| 90688 |
|
60 |
27 |
$0.00 |