| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,190 |
4,693 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
686 |
658 |
$40K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
635 |
633 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
138 |
138 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$54.40 |
| 0502F |
|
63 |
57 |
$0.00 |
| 99442 |
|
68 |
46 |
$0.00 |