| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
521 |
506 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
146 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
202 |
174 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
311 |
310 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 96127 |
|
60 |
60 |
$647.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
53 |
$544.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$429.45 |
| 92551 |
|
12 |
12 |
$114.24 |