| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
495 |
442 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
60 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
46 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
17 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
264 |
256 |
$95.44 |
| 83655 |
|
28 |
28 |
$0.00 |
| 90661 |
|
15 |
15 |
$0.00 |
| 90674 |
|
31 |
27 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |