| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
308 |
266 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
217 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
213 |
164 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
112 |
$11K |
| 99188 |
|
256 |
221 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
28 |
$4K |
| 99173 |
|
332 |
303 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
47 |
$1K |
| 92551 |
|
84 |
82 |
$845.65 |
| 90648 |
|
75 |
75 |
$650.00 |
| 90670 |
|
75 |
75 |
$650.00 |
| 90686 |
|
216 |
200 |
$320.00 |
| 90633 |
|
36 |
36 |
$310.00 |
| 90723 |
|
25 |
25 |
$250.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$118.69 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
35 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
111 |
100 |
$0.00 |