| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
126 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$4K |
| 90686 |
|
141 |
141 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
72 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$2K |
| 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 |
95 |
83 |
$841.70 |
| 92551 |
|
74 |
74 |
$709.56 |
| 96127 |
|
193 |
108 |
$701.79 |
| W7000 |
|
29 |
29 |
$149.06 |
| 99173 |
|
48 |
48 |
$96.20 |
| 99072 |
|
59 |
46 |
$6.00 |