| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$2K |
| 92552 |
|
95 |
95 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$489.15 |
| 90688 |
|
31 |
31 |
$279.00 |
| 90685 |
|
12 |
12 |
$108.00 |
| 3008F |
|
116 |
116 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
95 |
95 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |