| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,069 |
631 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
307 |
193 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
206 |
135 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
510 |
313 |
$8K |
| 90461 |
|
223 |
154 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
42 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
54 |
$5K |
| 87070 |
|
157 |
83 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
36 |
$504.00 |