| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
641 |
544 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
204 |
188 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$492.30 |
| 92551 |
|
55 |
55 |
$445.71 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$298.08 |
| 81002 |
|
16 |
16 |
$36.16 |
| 99173 |
|
29 |
29 |
$22.59 |
| 99401 |
|
93 |
85 |
$0.00 |