| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
556 |
487 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
675 |
665 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
274 |
272 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$4K |
| 90461 |
|
69 |
69 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$844.87 |
| 99174 |
|
14 |
14 |
$126.60 |
| 99173 |
|
12 |
12 |
$40.68 |