| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
517 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
439 |
385 |
$24K |
| 94200 |
|
221 |
182 |
$4K |
| 92552 |
|
90 |
89 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$2K |
| 90473 |
|
98 |
96 |
$825.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
104 |
$636.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
74 |
$559.45 |
| 94664 |
|
29 |
26 |
$385.38 |
| 96127 |
|
89 |
89 |
$371.72 |
| 99188 |
|
14 |
13 |
$228.00 |
| 99173 |
|
88 |
87 |
$139.35 |
| 90672 |
|
42 |
42 |
$0.00 |
| 94760 |
|
36 |
33 |
$0.00 |