| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
690 |
644 |
$41K |
| 99199 |
Unlisted special service, procedure or report |
8,707 |
8,413 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
339 |
317 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
87 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
250 |
238 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 96127 |
|
223 |
212 |
$954.44 |
| 3078F |
|
138 |
128 |
$0.00 |
| 3077F |
|
29 |
27 |
$0.00 |
| 3079F |
|
146 |
137 |
$0.00 |
| 3074F |
|
252 |
233 |
$0.00 |
| 3075F |
|
40 |
37 |
$0.00 |