| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
331 |
310 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
57 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$2K |
| 99173 |
|
149 |
149 |
$556.40 |
| 92551 |
|
122 |
121 |
$492.80 |
| 96161 |
|
26 |
26 |
$99.58 |
| 96127 |
|
24 |
24 |
$23.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$19.25 |
| 90677 |
|
38 |
38 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |