| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
402 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
209 |
$19K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
34 |
34 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
58 |
$668.86 |
| 99173 |
|
14 |
14 |
$357.70 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
30 |
30 |
$354.30 |