| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
49 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
19 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$1K |
| 99188 |
|
24 |
24 |
$400.56 |
| 90461 |
|
13 |
13 |
$233.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$194.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$87.84 |