| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
879 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
307 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
89 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
93 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 92551 |
|
429 |
428 |
$338.60 |
| 90656 |
|
15 |
15 |
$194.86 |
| 90686 |
|
100 |
99 |
$154.00 |
| 90670 |
|
13 |
13 |
$143.00 |
| 90723 |
|
13 |
13 |
$143.00 |
| 99173 |
|
376 |
375 |
$124.00 |
| 96160 |
|
67 |
67 |
$49.81 |
| 96127 |
|
25 |
25 |
$21.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$7.69 |
| G9920 |
Screening performed and negative |
164 |
164 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |