| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
586 |
581 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
828 |
750 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
617 |
613 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
107 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
84 |
$4K |
| 92551 |
|
185 |
185 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$678.84 |
| 97802 |
|
166 |
166 |
$561.48 |
| 90686 |
|
28 |
28 |
$276.96 |
| 90698 |
|
26 |
26 |
$234.00 |
| 90670 |
|
12 |
12 |
$108.00 |
| 99173 |
|
40 |
40 |
$0.00 |
| 96160 |
|
183 |
183 |
$0.00 |
| 99050 |
|
397 |
387 |
$0.00 |