| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
720 |
644 |
$46K |
| 96156 |
|
233 |
230 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
810 |
724 |
$4K |
| 92551 |
|
236 |
235 |
$3K |
| 96151 |
|
109 |
109 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
152 |
$1K |
| 90686 |
|
118 |
117 |
$1K |
| 85018 |
|
402 |
400 |
$836.43 |
| G9920 |
Screening performed and negative |
115 |
110 |
$290.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$198.10 |
| 96154 |
|
124 |
124 |
$178.32 |
| 97802 |
|
121 |
117 |
$60.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$19.75 |
| 99173 |
|
142 |
141 |
$5.08 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
362 |
355 |
$0.00 |
| 36416 |
|
264 |
262 |
$0.00 |