| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,161 |
1,006 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
139 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
128 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
324 |
304 |
$374.21 |
| 92551 |
|
56 |
49 |
$135.21 |
| 99173 |
|
13 |
13 |
$33.00 |
| 83655 |
|
57 |
57 |
$0.00 |
| 90661 |
|
36 |
35 |
$0.00 |
| 90674 |
|
53 |
44 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |