| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
856 |
797 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
210 |
175 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
478 |
403 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
33 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
26 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
85 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$292.53 |
| 99173 |
|
13 |
13 |
$82.65 |
| 90686 |
|
90 |
74 |
$0.00 |
| 90688 |
|
100 |
91 |
$0.00 |
| 90685 |
|
26 |
25 |
$0.00 |