| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,383 |
940 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
140 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
385 |
287 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
42 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
32 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
22 |
$2K |
| 83655 |
|
90 |
63 |
$1K |
| 96127 |
|
52 |
36 |
$744.60 |
| 36416 |
|
129 |
98 |
$619.10 |
| 85018 |
|
110 |
79 |
$250.56 |
| 90670 |
|
14 |
13 |
$89.60 |
| 90633 |
|
15 |
12 |
$89.60 |