| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96127 |
|
373 |
373 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
196 |
195 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
579 |
549 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
459 |
458 |
$705.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$166.30 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
184 |
$165.72 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
38 |
$156.32 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
98 |
$90.89 |
| 90461 |
|
42 |
42 |
$59.04 |