| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
561 |
481 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
640 |
611 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
39 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
179 |
168 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 0071A |
|
17 |
13 |
$803.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
24 |
$294.47 |
| 90686 |
|
166 |
158 |
$243.91 |
| 97802 |
|
26 |
26 |
$0.00 |