| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
176 |
168 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
43 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
26 |
$2K |
| 90461 |
|
12 |
12 |
$0.00 |