| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,047 |
969 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
278 |
259 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
277 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
229 |
208 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
214 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
79 |
$9K |
| 96127 |
|
253 |
231 |
$63.60 |
| 96160 |
|
253 |
230 |
$48.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
432 |
373 |
$46.14 |
| 92551 |
|
656 |
623 |
$35.20 |
| 99177 |
|
45 |
39 |
$33.00 |
| 90619 |
|
86 |
78 |
$0.00 |
| 90651 |
|
62 |
58 |
$0.00 |
| 90723 |
|
223 |
213 |
$0.00 |
| 90686 |
|
255 |
254 |
$0.00 |
| 90680 |
|
114 |
105 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
101 |
83 |
$0.00 |
| 90677 |
|
214 |
193 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 96161 |
|
67 |
66 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
660 |
617 |
$0.00 |
| 90633 |
|
67 |
67 |
$0.00 |
| 90648 |
|
416 |
395 |
$0.00 |
| 90670 |
|
204 |
203 |
$0.00 |
| 90661 |
|
79 |
79 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |