| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
809 |
805 |
$3K |
| 90658 |
|
886 |
882 |
$2K |
| 92551 |
|
940 |
939 |
$890.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,836 |
1,736 |
$361.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
857 |
829 |
$205.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
726 |
698 |
$85.10 |
| G9920 |
Screening performed and negative |
265 |
264 |
$29.00 |
| 96127 |
|
48 |
47 |
$0.00 |
| 96151 |
|
122 |
120 |
$0.00 |
| 96156 |
|
62 |
60 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 94200 |
|
12 |
12 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 99173 |
|
895 |
894 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$0.00 |
| 92081 |
|
14 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |