| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,529 |
1,135 |
$111K |
| 90656 |
|
393 |
364 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
64 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
54 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
149 |
94 |
$1K |
| 99058 |
|
68 |
27 |
$479.76 |