| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,365 |
3,811 |
$121K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,054 |
1,009 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
791 |
727 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
753 |
704 |
$39K |
| 3008F |
|
3,656 |
3,421 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
222 |
198 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
814 |
778 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
229 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
105 |
$5K |
| 90686 |
|
1,737 |
1,646 |
$5K |
| 90672 |
|
152 |
148 |
$2K |
| 0072A |
|
50 |
31 |
$1K |
| 0071A |
|
42 |
26 |
$954.00 |
| 90670 |
|
192 |
187 |
$658.52 |
| 90698 |
|
177 |
175 |
$599.44 |
| 0002A |
|
13 |
13 |
$343.44 |
| 99188 |
|
32 |
30 |
$331.21 |
| 90685 |
|
94 |
92 |
$294.22 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$183.82 |
| 91300 |
|
69 |
66 |
$0.08 |
| 91307 |
|
109 |
67 |
$0.02 |
| 99174 |
|
506 |
486 |
$0.00 |