| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,373 |
1,259 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
300 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
143 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,447 |
1,068 |
$12K |
| 90686 |
|
502 |
491 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$3K |
| 92552 |
|
44 |
44 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$803.92 |
| 99173 |
|
27 |
27 |
$67.60 |