| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,005 |
2,788 |
$7K |
| 90688 |
|
222 |
222 |
$1K |
| 90649 |
|
162 |
161 |
$582.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,993 |
1,702 |
$531.60 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
272 |
272 |
$350.00 |
| 90670 |
|
68 |
63 |
$281.08 |
| 90686 |
|
494 |
461 |
$182.37 |
| 90633 |
|
25 |
25 |
$139.68 |
| 90621 |
|
28 |
28 |
$139.68 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
477 |
466 |
$118.25 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
342 |
330 |
$107.55 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
85 |
$101.61 |
| 90734 |
|
88 |
85 |
$46.56 |
| 90698 |
|
57 |
53 |
$23.28 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
111 |
108 |
$0.00 |
| 90685 |
|
73 |
58 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
209 |
199 |
$0.00 |
| 90715 |
|
34 |
33 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
322 |
316 |
$0.00 |