| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
737 |
693 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
67 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$818.67 |
| 99188 |
|
24 |
24 |
$564.30 |
| 99177 |
|
57 |
57 |
$268.98 |
| 92551 |
|
31 |
31 |
$147.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 90656 |
|
64 |
64 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |