| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,239 |
4,269 |
$404K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
633 |
591 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
639 |
606 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
494 |
446 |
$54K |
| 92552 |
|
2,136 |
1,999 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
551 |
456 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
790 |
696 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,209 |
1,044 |
$11K |
| 96127 |
|
1,170 |
1,070 |
$7K |
| 99173 |
|
2,122 |
1,987 |
$5K |
| 90651 |
|
149 |
141 |
$4K |
| 90686 |
|
188 |
170 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$3K |
| 90688 |
|
120 |
119 |
$2K |
| 90698 |
|
98 |
90 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 90670 |
|
54 |
53 |
$1K |
| 90734 |
|
37 |
34 |
$679.84 |
| 90715 |
|
20 |
20 |
$470.32 |
| 90710 |
|
15 |
12 |
$349.40 |
| 90633 |
|
14 |
13 |
$302.64 |
| 90744 |
|
15 |
12 |
$279.36 |