| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,487 |
2,121 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
869 |
738 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
155 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
436 |
416 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
123 |
120 |
$1K |
| 96127 |
|
12 |
12 |
$97.58 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$45.45 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |