| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,051 |
1,051 |
$0.00 |
| 81000 |
|
481 |
481 |
$0.00 |
| 97802 |
|
1,051 |
1,051 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
377 |
$0.00 |
| 85018 |
|
777 |
777 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
938 |
933 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,043 |
1,043 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 90686 |
|
166 |
166 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,051 |
1,051 |
$0.00 |
| 90660 |
|
33 |
33 |
$0.00 |
| 90651 |
|
67 |
67 |
$0.00 |
| 90670 |
|
80 |
80 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 99173 |
|
627 |
627 |
$0.00 |
| 99401 |
|
1,051 |
1,051 |
$0.00 |
| 92552 |
|
635 |
634 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
213 |
213 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
302 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
290 |
290 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
129 |
$0.00 |
| 99421 |
|
28 |
28 |
$0.00 |