| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
259 |
227 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
180 |
158 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
57 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
108 |
$7K |
| 99188 |
|
156 |
135 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
40 |
$428.99 |
| 90686 |
|
140 |
125 |
$350.00 |
| 99173 |
|
176 |
149 |
$210.50 |
| G9919 |
Screening performed and positive and provision of recommendations |
88 |
83 |
$0.00 |