| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
356 |
353 |
$350.00 |
| G9920 |
Screening performed and negative |
543 |
537 |
$348.00 |
| 90686 |
|
38 |
37 |
$237.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
78 |
$179.70 |
| 92081 |
|
347 |
346 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
77 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
57 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
66 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,306 |
1,191 |
$0.00 |
| 96127 |
|
73 |
73 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
76 |
$0.00 |