| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
462 |
417 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$687.09 |
| 96160 |
|
132 |
112 |
$556.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
62 |
$474.54 |
| 96127 |
|
15 |
12 |
$80.70 |