| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
170 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
232 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
120 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
104 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
100 |
$10K |
| 90658 |
|
168 |
159 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
260 |
$2K |
| 96127 |
|
188 |
174 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 90716 |
|
19 |
17 |
$442.32 |
| 90651 |
|
20 |
20 |
$419.04 |
| 90707 |
|
12 |
12 |
$279.36 |
| 90698 |
|
14 |
14 |
$279.36 |