| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
111 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
342 |
333 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$889.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
139 |
$713.66 |
| 99177 |
|
98 |
97 |
$643.83 |
| 90686 |
|
59 |
59 |
$377.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
84 |
$158.28 |
| 90744 |
|
13 |
13 |
$58.08 |