| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
606 |
602 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
375 |
374 |
$40K |
| 92552 |
|
1,228 |
1,224 |
$38K |
| 90686 |
|
982 |
980 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,163 |
1,066 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
171 |
$13K |
| 99173 |
|
948 |
946 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
484 |
458 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
126 |
$3K |
| 85018 |
|
907 |
895 |
$2K |
| 96127 |
|
201 |
201 |
$1K |
| 81000 |
|
356 |
341 |
$1K |
| 90651 |
|
39 |
39 |
$648.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
60 |
$265.22 |
| 90685 |
|
14 |
14 |
$252.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$0.00 |