| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
92 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
125 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
101 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
42 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
89 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$3K |
| 99188 |
|
58 |
57 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
89 |
65 |
$1K |
| 87400 |
|
66 |
33 |
$863.26 |
| 90461 |
|
27 |
27 |
$569.92 |
| 96161 |
|
24 |
24 |
$44.98 |
| 90677 |
|
13 |
12 |
$0.00 |
| 90633 |
|
27 |
25 |
$0.00 |