| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
208 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
66 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
16 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
18 |
$401.95 |
| 90648 |
|
26 |
26 |
$166.40 |
| 90633 |
|
15 |
13 |
$96.00 |
| 90670 |
|
15 |
15 |
$96.00 |