| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,434 |
13,747 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,577 |
3,555 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,121 |
4,116 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,421 |
1,409 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,561 |
2,558 |
$63K |
| 92551 |
|
11,003 |
10,996 |
$40K |
| 99381 |
|
391 |
389 |
$38K |
| 96156 |
|
1,819 |
1,818 |
$29K |
| 99383 |
|
480 |
480 |
$26K |
| 90686 |
|
3,339 |
3,327 |
$18K |
| 99382 |
|
240 |
240 |
$16K |
| 99384 |
|
224 |
224 |
$15K |
| 3074F |
|
8,394 |
8,389 |
$13K |
| 3008F |
|
7,702 |
7,697 |
$13K |
| 3078F |
|
8,254 |
8,249 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
477 |
470 |
$12K |
| 90670 |
|
2,062 |
2,055 |
$10K |
| 90649 |
|
1,552 |
1,550 |
$9K |
| 90744 |
|
1,430 |
1,427 |
$8K |
| 90698 |
|
1,105 |
1,103 |
$7K |
| 90633 |
|
1,160 |
1,149 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
58 |
$6K |
| 90680 |
|
862 |
858 |
$6K |
| 90716 |
|
1,122 |
1,117 |
$6K |
| 90707 |
|
1,081 |
1,076 |
$5K |
| 90700 |
|
746 |
745 |
$5K |
| 90734 |
|
659 |
658 |
$3K |
| 90658 |
|
852 |
848 |
$3K |
| 90715 |
|
365 |
364 |
$3K |
| 90651 |
|
409 |
409 |
$2K |
| 90648 |
|
316 |
313 |
$2K |
| 90620 |
|
219 |
219 |
$1K |
| 99242 |
|
319 |
307 |
$1K |
| 90696 |
|
170 |
170 |
$1K |
| 90655 |
|
251 |
251 |
$1K |
| 90619 |
|
245 |
245 |
$936.00 |
| 99173 |
|
8,559 |
8,555 |
$789.30 |
| 90713 |
|
130 |
130 |
$625.00 |
| 0051A |
|
12 |
12 |
$360.00 |
| 90677 |
|
169 |
169 |
$270.00 |
| 90697 |
|
12 |
12 |
$191.00 |
| 90723 |
|
20 |
20 |
$150.00 |
| 0001A |
|
19 |
19 |
$120.00 |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$86.79 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$85.10 |
| 0002A |
|
12 |
12 |
$80.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$59.90 |
| 96127 |
|
298 |
298 |
$19.24 |
| 96161 |
|
12 |
12 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |