| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
424 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
597 |
527 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
219 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
122 |
121 |
$11K |
| 99188 |
|
26 |
26 |
$525.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
556 |
540 |
$503.46 |
| 99051 |
|
13 |
13 |
$360.58 |
| 90677 |
|
13 |
13 |
$0.00 |
| 96161 |
|
80 |
79 |
$0.00 |
| 90686 |
|
24 |
24 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90661 |
|
52 |
52 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |