| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
191 |
188 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
239 |
200 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
228 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202 |
181 |
$770.46 |
| 92551 |
|
143 |
142 |
$479.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$349.17 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$231.70 |
| G9920 |
Screening performed and negative |
158 |
158 |
$122.00 |
| 85018 |
|
193 |
193 |
$117.47 |
| 97802 |
|
149 |
149 |
$91.05 |
| 36416 |
|
27 |
27 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| 99173 |
|
24 |
24 |
$0.00 |