| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
324 |
324 |
$16K |
| 92551 |
|
2,567 |
2,563 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
978 |
971 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,746 |
1,614 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
306 |
295 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
823 |
818 |
$3K |
| 99384 |
|
30 |
30 |
$803.01 |
| 99383 |
|
15 |
15 |
$760.92 |
| 90686 |
|
40 |
40 |
$315.00 |
| 90734 |
|
27 |
26 |
$189.00 |
| 90696 |
|
12 |
12 |
$108.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
33 |
$68.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,263 |
1,258 |
$2.00 |
| 92081 |
|
1,035 |
1,035 |
$0.00 |
| 99441 |
|
2,521 |
2,275 |
$0.00 |
| 92499 |
|
616 |
616 |
$0.00 |