| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,311 |
714 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
366 |
238 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
326 |
216 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
15 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
28 |
$1K |
| 85018 |
|
247 |
98 |
$78.21 |
| 94760 |
|
12 |
12 |
$13.35 |
| 99173 |
|
150 |
47 |
$2.43 |
| 96160 |
|
41 |
12 |
$0.00 |
| 90461 |
|
55 |
27 |
$0.00 |
| 36416 |
|
206 |
73 |
$0.00 |
| 96127 |
|
38 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |