| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
124 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
43 |
$818.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$388.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
30 |
$195.27 |