| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
610 |
527 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
58 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
14 |
$1K |
| 90686 |
|
54 |
46 |
$924.99 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
44 |
$774.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$308.15 |
| 90670 |
|
12 |
12 |
$276.47 |
| 96127 |
|
15 |
15 |
$221.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
30 |
$0.00 |