| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
847 |
680 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
995 |
793 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
750 |
693 |
$6K |
| 99199 |
Unlisted special service, procedure or report |
2,124 |
2,095 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
39 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
51 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
122 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
97 |
79 |
$2K |
| 90713 |
|
15 |
13 |
$0.00 |