| Code | Description | Claims | Beneficiaries | Total Paid |
| 99441 |
|
5,228 |
3,699 |
$6K |
| 96160 |
|
1,839 |
1,430 |
$640.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,273 |
7,031 |
$234.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
133 |
127 |
$16.00 |
| 96127 |
|
741 |
448 |
$4.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
93 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
169 |
$0.00 |
| 99442 |
|
149 |
142 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
458 |
318 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
237 |
175 |
$0.00 |
| 96150 |
|
14 |
14 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
13 |
$0.00 |