| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
581 |
516 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
252 |
214 |
$19K |
| 92582 |
|
169 |
134 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
287 |
243 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
59 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
26 |
$1K |
| 99173 |
|
181 |
147 |
$1K |
| 90686 |
|
58 |
52 |
$428.29 |
| 81000 |
|
158 |
141 |
$411.34 |
| 3008F |
|
154 |
114 |
$0.00 |
| 1036F |
|
19 |
13 |
$0.00 |
| 1003F |
|
209 |
141 |
$0.00 |
| 97803 |
|
38 |
36 |
$0.00 |
| 99072 |
|
38 |
31 |
$0.00 |