| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,013 |
1,806 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
247 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
86 |
82 |
$7K |
| 90686 |
|
350 |
334 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
24 |
$2K |
| 90677 |
|
14 |
14 |
$883.01 |
| 96127 |
|
106 |
86 |
$504.80 |
| 90685 |
|
13 |
13 |
$162.18 |
| 96160 |
|
63 |
59 |
$150.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
14 |
$139.57 |
| 90672 |
|
12 |
12 |
$129.01 |
| 96161 |
|
46 |
44 |
$102.24 |
| 99173 |
|
26 |
24 |
$60.38 |
| 99000 |
|
51 |
45 |
$59.96 |
| 1127F |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
13 |
$0.00 |
| 1128F |
|
48 |
42 |
$0.00 |