| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
881 |
835 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
103 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
77 |
$7K |
| 99051 |
|
126 |
123 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
39 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 92551 |
|
259 |
259 |
$1K |
| 90686 |
|
93 |
67 |
$726.25 |
| 99173 |
|
217 |
217 |
$558.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
39 |
$184.56 |
| 90648 |
|
13 |
13 |
$143.17 |
| 96161 |
|
12 |
12 |
$45.96 |
| 90674 |
|
175 |
174 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 83655 |
|
198 |
198 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |