| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
369 |
360 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244 |
237 |
$21K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
47 |
$525.93 |
| 99173 |
|
12 |
12 |
$306.60 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
13 |
13 |
$153.53 |