| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
30 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
15 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
70 |
$682.22 |
| 92551 |
|
44 |
41 |
$398.52 |
| 99173 |
|
47 |
44 |
$114.40 |
| 96127 |
|
13 |
13 |
$61.23 |
| 96161 |
|
18 |
17 |
$47.09 |
| 3008F |
|
65 |
61 |
$35.00 |