| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
153 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
71 |
$6K |
| 92552 |
|
77 |
73 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$390.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
36 |
$285.87 |
| 99173 |
|
99 |
94 |
$220.74 |
| 81002 |
|
50 |
49 |
$149.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$46.20 |