| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
521 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
90 |
$3K |
| 92552 |
|
441 |
388 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
95 |
80 |
$115.18 |
| 99173 |
|
437 |
386 |
$52.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
55 |
$0.00 |
| 90658 |
|
198 |
196 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
50 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
38 |
$0.00 |