| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
315 |
289 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$900.00 |
| 96160 |
|
73 |
45 |
$485.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
13 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
53 |
$0.00 |
| 99173 |
|
66 |
66 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
56 |
$0.00 |
| 99401 |
|
30 |
30 |
$0.00 |
| 3510F |
|
44 |
44 |
$0.00 |