| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
125 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
17 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
101 |
$806.32 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$627.08 |
| 81003 |
|
14 |
14 |
$28.56 |