| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,492 |
7,842 |
$447K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,135 |
3,965 |
$225K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,967 |
1,850 |
$102K |
| 90670 |
|
3,908 |
3,728 |
$41K |
| 90686 |
|
2,847 |
2,686 |
$36K |
| 90698 |
|
1,982 |
1,905 |
$26K |
| 0072A |
|
185 |
183 |
$18K |
| 0071A |
|
179 |
177 |
$18K |
| 90680 |
|
1,347 |
1,277 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
400 |
381 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
142 |
$8K |
| 90648 |
|
546 |
523 |
$5K |
| 90688 |
|
532 |
453 |
$4K |
| 90677 |
|
328 |
327 |
$4K |
| 90656 |
|
279 |
274 |
$4K |
| 90744 |
|
279 |
262 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
41 |
$3K |
| 90633 |
|
251 |
235 |
$3K |
| 90723 |
|
266 |
255 |
$2K |
| 99188 |
|
52 |
52 |
$927.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$576.30 |
| 96127 |
|
413 |
384 |
$359.22 |
| 90660 |
|
12 |
12 |
$185.40 |
| 90716 |
|
12 |
12 |
$157.68 |
| 90707 |
|
12 |
12 |
$157.68 |
| 90651 |
|
12 |
12 |
$114.72 |
| 90685 |
|
20 |
12 |
$105.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
33 |
$88.00 |
| 85018 |
|
12 |
12 |
$37.18 |
| 36416 |
|
110 |
110 |
$0.00 |