| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
612 |
498 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$271.46 |
| 99499 |
|
44 |
34 |
$265.14 |
| 99429 |
|
45 |
35 |
$248.22 |
| 97802 |
|
78 |
49 |
$185.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
24 |
$41.02 |
| 90688 |
|
30 |
30 |
$23.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
39 |
$0.00 |
| 96127 |
|
35 |
31 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
62 |
$0.00 |
| 90670 |
|
34 |
26 |
$0.00 |
| 99188 |
|
15 |
15 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |