| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
229 |
214 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
27 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
33 |
$565.65 |
| 96127 |
|
32 |
30 |
$472.31 |
| 90686 |
|
21 |
20 |
$370.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
20 |
$0.00 |