| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
855 |
814 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
155 |
154 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
82 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
114 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
184 |
181 |
$480.65 |
| 90686 |
|
32 |
32 |
$341.00 |
| 90698 |
|
34 |
25 |
$176.00 |
| 99173 |
|
55 |
53 |
$94.80 |
| 92551 |
|
68 |
66 |
$90.83 |
| 96161 |
|
30 |
30 |
$57.45 |
| 96127 |
|
36 |
36 |
$44.00 |
| 90670 |
|
23 |
13 |
$33.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
40 |
$0.00 |