| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
294 |
284 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
101 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
47 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
35 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
119 |
119 |
$43.12 |
| 92551 |
|
39 |
39 |
$30.54 |
| 96161 |
|
78 |
78 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90723 |
|
27 |
27 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
81 |
81 |
$0.00 |
| 99177 |
|
14 |
14 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |
| 90648 |
|
28 |
28 |
$0.00 |