| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
262 |
238 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
174 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
141 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
186 |
$4K |
| 96127 |
|
291 |
270 |
$4K |
| 96160 |
|
218 |
201 |
$3K |
| 90686 |
|
155 |
141 |
$3K |
| 90670 |
|
166 |
155 |
$3K |
| 90723 |
|
109 |
106 |
$2K |
| 90647 |
|
103 |
95 |
$2K |
| 90680 |
|
100 |
98 |
$2K |
| 90677 |
|
28 |
16 |
$1K |
| 90633 |
|
37 |
36 |
$626.52 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
14 |
$598.92 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$496.50 |