| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
239 |
216 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
178 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
434 |
333 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
153 |
150 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$477.13 |
| 90686 |
|
33 |
28 |
$266.42 |
| 90461 |
|
126 |
58 |
$202.62 |
| 99072 |
|
591 |
487 |
$98.55 |
| 99051 |
|
59 |
57 |
$63.00 |