| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
435 |
402 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
229 |
205 |
$8K |
| 96112 |
|
84 |
75 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
159 |
152 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90461 |
|
25 |
24 |
$908.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
84 |
$731.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
33 |
$678.60 |