| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
328 |
313 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
110 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
135 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
154 |
154 |
$657.59 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
66 |
$282.32 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
67 |
67 |
$0.00 |