| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92081 |
|
1,730 |
1,723 |
$42K |
| 92552 |
|
1,762 |
1,754 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
459 |
457 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
318 |
318 |
$13K |
| 90686 |
|
632 |
621 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
69 |
$2K |
| 90656 |
|
103 |
103 |
$932.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$462.28 |
| 96127 |
|
78 |
78 |
$386.90 |
| 90651 |
|
50 |
50 |
$376.96 |
| G9920 |
Screening performed and negative |
479 |
478 |
$363.95 |
| 90734 |
|
42 |
42 |
$317.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,848 |
1,671 |
$182.26 |
| 90620 |
|
14 |
14 |
$109.12 |
| 90700 |
|
14 |
12 |
$99.20 |