| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,258 |
1,187 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
315 |
287 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
132 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
103 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
124 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
313 |
313 |
$2K |
| 99383 |
|
38 |
38 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$1K |
| 99381 |
|
12 |
12 |
$478.50 |
| 99384 |
|
12 |
12 |
$445.50 |
| 92551 |
|
56 |
56 |
$344.04 |
| 99173 |
|
95 |
95 |
$314.20 |
| 90647 |
|
64 |
64 |
$151.18 |
| 90686 |
|
15 |
15 |
$0.00 |