| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,839 |
1,508 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,155 |
983 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
49 |
$924.96 |
| 90688 |
|
72 |
71 |
$808.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$481.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$191.49 |
| 81002 |
|
44 |
28 |
$145.96 |