| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
806 |
747 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
355 |
313 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
451 |
390 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
41 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$583.57 |
| 90686 |
|
64 |
64 |
$0.00 |