| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
621 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
19 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
130 |
128 |
$661.53 |
| 92551 |
|
98 |
98 |
$490.66 |
| 99173 |
|
122 |
122 |
$435.40 |
| 96127 |
|
118 |
116 |
$433.90 |
| 3725F |
|
12 |
12 |
$0.00 |