| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,693 |
1,516 |
$119K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,055 |
967 |
$23K |
| 99174 |
|
365 |
334 |
$6K |
| 92551 |
|
367 |
340 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
53 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$205.48 |
| 90686 |
|
478 |
453 |
$124.15 |
| 88738 |
|
404 |
370 |
$14.37 |
| 81002 |
|
309 |
284 |
$4.88 |