| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
349 |
330 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
25 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
96 |
$630.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
35 |
$356.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
85 |
$220.80 |
| 90698 |
|
14 |
14 |
$0.00 |