| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
282 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
67 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
14 |
$1K |
| 90686 |
|
96 |
89 |
$627.67 |