| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
420 |
416 |
$25K |
| 92551 |
|
768 |
766 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
153 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
128 |
128 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
110 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,397 |
2,141 |
$8K |
| 99173 |
|
760 |
759 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,490 |
1,317 |
$3K |
| 81000 |
|
1,032 |
984 |
$3K |
| 85018 |
|
863 |
857 |
$2K |
| 90685 |
|
104 |
104 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
826 |
663 |
$1K |
| 90686 |
|
67 |
67 |
$1K |
| 90672 |
|
51 |
51 |
$918.00 |
| 90734 |
|
12 |
12 |
$216.00 |
| 90633 |
|
12 |
12 |
$162.00 |