| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
168 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
58 |
$441.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
15 |
$190.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
27 |
$73.04 |
| 85018 |
|
148 |
71 |
$61.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
13 |
$59.58 |
| 92551 |
|
28 |
14 |
$8.27 |
| 36416 |
|
71 |
35 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
38 |
$0.00 |
| 90680 |
|
28 |
13 |
$0.00 |
| 94760 |
|
31 |
15 |
$0.00 |
| 90670 |
|
39 |
18 |
$0.00 |
| 99173 |
|
26 |
13 |
$0.00 |
| 81002 |
|
28 |
14 |
$0.00 |
| 90473 |
|
26 |
13 |
$0.00 |