| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
633 |
535 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
378 |
355 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
273 |
$21K |
| 90670 |
|
247 |
227 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
30 |
$3K |
| 99383 |
|
25 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
90 |
$1K |
| 99381 |
|
18 |
18 |
$1K |
| 90723 |
|
191 |
175 |
$1K |
| 90647 |
|
193 |
179 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 90686 |
|
116 |
107 |
$780.46 |
| 99173 |
|
67 |
67 |
$499.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$460.30 |
| 90681 |
|
67 |
60 |
$428.80 |
| 90710 |
|
29 |
29 |
$185.60 |
| 90633 |
|
16 |
13 |
$102.40 |
| 90696 |
|
13 |
13 |
$83.20 |