| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
816 |
679 |
$81K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
819 |
733 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
55 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
344 |
157 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
192 |
160 |
$2K |