| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
537 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
138 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
396 |
344 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
159 |
$3K |
| 99381 |
|
26 |
25 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
31 |
$496.05 |
| 96161 |
|
79 |
69 |
$14.24 |
| 90677 |
|
13 |
12 |
$0.00 |
| 90686 |
|
16 |
15 |
$0.00 |