| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
332 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
276 |
201 |
$26.58 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
74 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
56 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
25 |
23 |
$0.00 |
| 90686 |
|
312 |
250 |
$0.00 |
| 90688 |
|
90 |
87 |
$0.00 |