| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
375 |
350 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
82 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
263 |
255 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
67 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
54 |
$897.00 |
| 99051 |
|
15 |
15 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |