| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
516 |
506 |
$35K |
| 92588 |
|
457 |
450 |
$28K |
| 94060 |
|
158 |
155 |
$9K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
61 |
58 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
251 |
$1K |
| 90686 |
|
56 |
56 |
$609.98 |
| 99429 |
|
24 |
24 |
$525.00 |
| 90656 |
|
46 |
46 |
$497.72 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$120.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
85 |
$93.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$67.16 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
141 |
97 |
$0.00 |