| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
469 |
441 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
151 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
124 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
29 |
$3K |
| 99051 |
|
27 |
26 |
$711.79 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$553.11 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
437 |
427 |
$278.61 |
| 99177 |
|
28 |
28 |
$52.86 |
| 92551 |
|
13 |
13 |
$29.20 |
| 90686 |
|
60 |
60 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 96161 |
|
41 |
41 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90670 |
|
52 |
51 |
$0.00 |
| 90661 |
|
19 |
19 |
$0.00 |
| 90648 |
|
89 |
88 |
$0.00 |