| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
700 |
518 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
59 |
$5K |
| 0502F |
|
65 |
25 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
25 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
99 |
79 |
$1K |
| 90656 |
|
19 |
18 |
$341.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
15 |
$305.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$126.28 |