| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,860 |
1,760 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,152 |
1,152 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,023 |
998 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,430 |
2,403 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
188 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
99 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
666 |
647 |
$7K |
| 99188 |
|
53 |
53 |
$2K |
| 99441 |
|
22 |
21 |
$252.12 |
| 3078F |
|
233 |
231 |
$0.00 |
| 1159F |
|
547 |
528 |
$0.00 |
| 1160F |
|
547 |
528 |
$0.00 |
| 3725F |
|
13 |
12 |
$0.00 |
| 3074F |
|
233 |
230 |
$0.00 |
| 3008F |
|
400 |
396 |
$0.00 |
| 1036F |
|
31 |
30 |
$0.00 |