| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
56 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
75 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
55 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21 |
12 |
$1K |
| 90670 |
|
31 |
24 |
$198.40 |
| 90686 |
|
19 |
13 |
$140.63 |
| 90698 |
|
19 |
12 |
$121.60 |