| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
254 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
166 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
168 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
76 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
180 |
177 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
66 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
60 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90461 |
|
43 |
39 |
$1K |
| 92551 |
|
109 |
109 |
$576.84 |
| 96127 |
|
45 |
45 |
$159.54 |
| 99173 |
|
99 |
99 |
$127.30 |
| 96160 |
|
17 |
17 |
$32.82 |