| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
998 |
923 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
505 |
500 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
71 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
77 |
$8K |
| 90461 |
|
79 |
79 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
56 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
66 |
$503.20 |
| 90686 |
|
207 |
206 |
$0.01 |
| 90670 |
|
13 |
13 |
$0.00 |