| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
72 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
36 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
45 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$997.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
100 |
$925.36 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
110 |
108 |
$882.99 |