| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
335 |
316 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
460 |
451 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
461 |
250 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 92551 |
|
319 |
310 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$297.01 |
| 96127 |
|
43 |
42 |
$132.82 |
| 90658 |
|
28 |
27 |
$0.00 |
| 90461 |
|
34 |
30 |
$0.00 |
| 93770 |
|
404 |
390 |
$0.00 |
| 99173 |
|
324 |
315 |
$0.00 |