| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$164.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
22 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |