| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,976 |
1,695 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
948 |
840 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,311 |
1,253 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
92 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
428 |
428 |
$2K |
| 92567 |
|
70 |
52 |
$864.30 |
| 99173 |
|
80 |
80 |
$93.75 |
| 96127 |
|
26 |
26 |
$83.16 |
| 90686 |
|
221 |
221 |
$17.85 |
| 99072 |
|
67 |
61 |
$12.00 |
| 90656 |
|
64 |
64 |
$0.00 |