| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
438 |
436 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
404 |
372 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
168 |
$5K |
| 97803 |
|
526 |
517 |
$5K |
| G9920 |
Screening performed and negative |
352 |
350 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
152 |
151 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
100 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 92552 |
|
21 |
21 |
$168.85 |
| 96127 |
|
66 |
66 |
$17.21 |