| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
448 |
426 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$1K |
| 90686 |
|
151 |
149 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
75 |
$932.77 |
| 99177 |
|
120 |
117 |
$918.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
275 |
$404.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
59 |
$0.00 |