| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
27 |
$3K |
| 90686 |
|
44 |
36 |
$838.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
27 |
$248.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
18 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
34 |
$0.00 |