| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
368 |
339 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
429 |
364 |
$5K |
| 90686 |
|
186 |
184 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
523 |
460 |
$4K |
| 90670 |
|
152 |
140 |
$3K |
| 90723 |
|
114 |
103 |
$2K |
| 90680 |
|
109 |
96 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
242 |
215 |
$2K |
| 90647 |
|
90 |
80 |
$2K |
| 96127 |
|
192 |
183 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
50 |
50 |
$999.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$918.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
43 |
$840.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
64 |
$717.60 |
| 96160 |
|
95 |
95 |
$409.20 |
| 94760 |
|
13 |
12 |
$3.20 |
| 99174 |
|
27 |
25 |
$0.00 |