| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0012A |
|
105 |
98 |
$4K |
| 96160 |
|
453 |
441 |
$3K |
| 0011A |
|
103 |
89 |
$3K |
| 0064A |
|
92 |
73 |
$3K |
| 0071A |
|
47 |
47 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,628 |
7,695 |
$2K |
| 0072A |
|
33 |
33 |
$1K |
| 0004A |
|
41 |
39 |
$680.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
188 |
$365.40 |
| 86580 |
|
487 |
417 |
$0.02 |
| 99402 |
|
262 |
253 |
$0.02 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
185 |
$0.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
180 |
$0.01 |
| 99401 |
|
263 |
254 |
$0.00 |
| 99408 |
|
363 |
333 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
29 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
35 |
$0.00 |
| 83655 |
|
35 |
29 |
$0.00 |
| 99409 |
|
15 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$0.00 |
| 96127 |
|
328 |
310 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
139 |
119 |
$0.00 |
| 3008F |
|
113 |
108 |
$0.00 |