| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
897 |
821 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
324 |
312 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
157 |
149 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
56 |
$995.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$886.86 |
| 90686 |
|
351 |
330 |
$775.35 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
91 |
65 |
$654.81 |
| 90671 |
|
12 |
12 |
$266.90 |
| 90656 |
|
70 |
69 |
$260.85 |
| 99173 |
|
14 |
14 |
$139.86 |
| 90698 |
|
12 |
12 |
$136.68 |
| 90680 |
|
12 |
12 |
$115.00 |
| 36416 |
|
27 |
26 |
$73.00 |
| 85018 |
|
12 |
12 |
$31.20 |
| 90461 |
|
27 |
27 |
$26.00 |