| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
134 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
55 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
38 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
14 |
$123.43 |
| 96161 |
|
13 |
12 |
$114.16 |