| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
442 |
396 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
159 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
125 |
$14K |
| 90686 |
|
595 |
563 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
81 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
42 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
42 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
37 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
511 |
495 |
$4K |
| 99173 |
|
638 |
589 |
$2K |
| 90670 |
|
39 |
38 |
$884.63 |
| 96127 |
|
189 |
179 |
$833.67 |
| 90651 |
|
24 |
24 |
$558.72 |
| 90734 |
|
12 |
12 |
$279.36 |