| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,023 |
1,837 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
907 |
874 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
915 |
897 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
376 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$3K |
| 92551 |
|
212 |
210 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
137 |
$2K |
| 90461 |
|
47 |
46 |
$656.80 |
| 90686 |
|
296 |
278 |
$234.20 |
| 90700 |
|
58 |
55 |
$181.80 |
| 99173 |
|
193 |
191 |
$158.44 |
| 90713 |
|
24 |
24 |
$81.28 |
| 90670 |
|
13 |
13 |
$0.00 |