| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
96 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
48 |
$537.12 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
48 |
47 |
$499.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$284.20 |