| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
285 |
273 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
96 |
96 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
238 |
236 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
253 |
252 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 92551 |
|
29 |
29 |
$295.36 |