| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,671 |
1,583 |
$84K |
| 99051 |
|
1,215 |
1,184 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
283 |
282 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
191 |
183 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
176 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$3K |
| 87428 |
|
12 |
12 |
$262.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
506 |
499 |
$241.62 |
| 92551 |
|
111 |
111 |
$172.28 |
| 99177 |
|
88 |
88 |
$59.43 |
| 90686 |
|
91 |
86 |
$22.00 |
| 90661 |
|
15 |
15 |
$0.00 |
| 90648 |
|
85 |
84 |
$0.00 |
| 90670 |
|
69 |
68 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 96161 |
|
42 |
41 |
$0.00 |