| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
405 |
351 |
$3K |
| 99215 |
Prolong outpt/office vis |
247 |
197 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
165 |
$2K |
| S9999 |
Sales tax |
83 |
65 |
$0.15 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 96127 |
|
248 |
203 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
129 |
104 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |