| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92567 |
|
321 |
277 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
904 |
761 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
123 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
66 |
$729.20 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
30 |
$240.00 |
| 96160 |
|
16 |
16 |
$66.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
88 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
32 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |