| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
418 |
366 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
151 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
674 |
654 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
36 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
14 |
$996.44 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$401.78 |
| 92552 |
|
26 |
26 |
$280.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
26 |
$248.62 |