| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
302 |
278 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
901 |
889 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
144 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
905 |
897 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
150 |
149 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
73 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
115 |
$3K |
| 97802 |
|
459 |
452 |
$310.00 |
| 92551 |
|
14 |
14 |
$53.92 |
| 90461 |
|
26 |
26 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 90686 |
|
44 |
44 |
$0.00 |