| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
587 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
448 |
363 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
29 |
$499.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$245.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$110.37 |
| 90686 |
|
41 |
28 |
$77.19 |
| 92552 |
|
31 |
19 |
$64.60 |
| 3074F |
|
98 |
85 |
$0.00 |
| 3078F |
|
58 |
53 |
$0.00 |
| 99173 |
|
28 |
18 |
$0.00 |