| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,493 |
1,320 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
60 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
205 |
198 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$781.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
27 |
$553.19 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$487.24 |