| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,274 |
2,362 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,790 |
10,475 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
833 |
608 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,045 |
807 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
588 |
436 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
98 |
$278.41 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
283 |
245 |
$183.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
355 |
328 |
$136.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
162 |
117 |
$0.00 |
| 96160 |
|
41 |
39 |
$0.00 |
| 96127 |
|
41 |
39 |
$0.00 |