| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,459 |
3,452 |
$274K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,311 |
2,669 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
725 |
379 |
$9K |
| 97803 |
|
118 |
114 |
$6K |
| 97802 |
|
77 |
73 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
30 |
$4K |
| 90686 |
|
495 |
333 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
130 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
15 |
$1K |
| 90656 |
|
60 |
52 |
$993.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
53 |
$606.85 |
| 90461 |
|
102 |
51 |
$0.00 |