| Code | Description | Claims | Beneficiaries | Total Paid |
| 99442 |
|
440 |
395 |
$53.49 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,321 |
1,623 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34 |
25 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
5,636 |
1,914 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
166 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
403 |
189 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
720 |
353 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
193 |
117 |
$0.00 |
| 99401 |
|
24 |
24 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
12 |
$0.00 |