| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
988 |
918 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
789 |
783 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
140 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
48 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
389 |
389 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
152 |
144 |
$4K |
| 92587 |
|
164 |
164 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99173 |
|
103 |
103 |
$273.90 |
| 90686 |
|
220 |
220 |
$55.44 |
| 90661 |
|
16 |
16 |
$44.68 |
| 90674 |
|
17 |
17 |
$22.60 |
| 90672 |
|
40 |
40 |
$0.00 |
| 90688 |
|
33 |
32 |
$0.00 |