| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,340 |
1,303 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,096 |
1,042 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
682 |
671 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,353 |
1,329 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
182 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
33 |
$3K |
| 90461 |
|
85 |
75 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
49 |
$2K |
| 92558 |
|
121 |
113 |
$1K |
| 92551 |
|
258 |
235 |
$1K |
| 90677 |
|
138 |
122 |
$748.64 |
| 99000 |
|
476 |
389 |
$619.02 |
| 99173 |
|
330 |
277 |
$358.16 |
| 90697 |
|
102 |
80 |
$278.88 |
| 96127 |
|
43 |
43 |
$162.32 |
| 90686 |
|
96 |
74 |
$31.16 |
| 90656 |
|
15 |
13 |
$0.00 |