| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
270 |
262 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
105 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
252 |
240 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
62 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$941.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$701.22 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
26 |
$224.81 |
| 96160 |
|
28 |
27 |
$145.04 |
| 96127 |
|
28 |
27 |
$133.04 |
| 96161 |
|
12 |
12 |
$44.05 |
| 90670 |
|
55 |
52 |
$0.00 |
| 90723 |
|
26 |
24 |
$0.00 |
| 90686 |
|
36 |
35 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |