| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
120 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
13 |
$902.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
28 |
$145.95 |
| 96160 |
|
141 |
76 |
$112.56 |
| 92551 |
|
37 |
25 |
$84.20 |
| 96127 |
|
36 |
15 |
$29.96 |
| 99173 |
|
36 |
24 |
$2.22 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
17 |
$0.00 |