| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
653 |
604 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$576.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
53 |
$552.52 |
| 90686 |
|
36 |
36 |
$282.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$245.40 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |