| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
641 |
624 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
823 |
804 |
$41K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
110 |
110 |
$995.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$883.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$379.99 |
| 0502F |
|
51 |
43 |
$0.00 |