| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
806 |
758 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
641 |
603 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
386 |
328 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
251 |
222 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
66 |
$5K |
| 90677 |
|
214 |
192 |
$4K |
| 90648 |
|
181 |
167 |
$3K |
| 90723 |
|
118 |
109 |
$2K |
| 99383 |
|
21 |
19 |
$2K |
| 90686 |
|
102 |
100 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 90656 |
|
59 |
59 |
$954.42 |
| 90681 |
|
53 |
52 |
$885.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$257.28 |
| 90734 |
|
13 |
13 |
$217.23 |