| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
606 |
581 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
300 |
$25K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
124 |
124 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
68 |
68 |
$786.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$282.24 |