| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
114 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
49 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
29 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
29 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
14 |
$772.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
39 |
$235.44 |
| 90686 |
|
23 |
17 |
$167.09 |
| 90670 |
|
35 |
14 |
$30.38 |
| 99173 |
|
35 |
31 |
$0.00 |
| 92551 |
|
35 |
31 |
$0.00 |