| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
249 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
270 |
226 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
254 |
218 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
140 |
$2K |
| 92551 |
|
88 |
82 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
43 |
$763.67 |
| 99173 |
|
72 |
69 |
$746.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$72.00 |
| 90686 |
|
37 |
35 |
$0.00 |