| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
783 |
587 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
353 |
244 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
142 |
100 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
512 |
404 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$909.54 |
| 90670 |
|
77 |
53 |
$722.94 |
| 90723 |
|
58 |
43 |
$371.20 |
| 90648 |
|
43 |
32 |
$275.20 |
| 90680 |
|
41 |
32 |
$262.40 |
| 90686 |
|
45 |
38 |
$217.60 |
| 85018 |
|
21 |
12 |
$48.72 |