| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
726 |
692 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
102 |
102 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
88 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
481 |
467 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$1K |
| 92551 |
|
255 |
254 |
$966.87 |
| 99173 |
|
242 |
241 |
$858.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$346.50 |
| 96127 |
|
65 |
65 |
$132.00 |
| 94760 |
|
13 |
12 |
$29.48 |
| 90686 |
|
18 |
18 |
$0.00 |