| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
406 |
360 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
347 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
101 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
18 |
$2K |
| 90686 |
|
92 |
69 |
$1K |
| 87428 |
|
16 |
14 |
$1K |