| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
233 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
81 |
80 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
129 |
129 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
48 |
$934.78 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
28 |
28 |
$278.88 |