| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
247 |
218 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
87 |
84 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
36 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
253 |
239 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
96 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
38 |
$671.49 |
| 92551 |
|
40 |
40 |
$271.68 |
| 99173 |
|
12 |
12 |
$26.04 |
| 90686 |
|
53 |
53 |
$0.50 |