| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,098 |
1,072 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
488 |
449 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
460 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
232 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
299 |
294 |
$6K |
| 94760 |
|
113 |
106 |
$317.84 |
| 90685 |
|
55 |
55 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90686 |
|
111 |
108 |
$0.00 |