| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
690 |
624 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
266 |
224 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
113 |
93 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
377 |
347 |
$7K |
| 90677 |
|
122 |
104 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 96127 |
|
88 |
86 |
$2K |
| 90723 |
|
62 |
54 |
$1K |
| 90656 |
|
53 |
52 |
$894.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$858.99 |
| 90647 |
|
43 |
43 |
$718.53 |
| 90680 |
|
29 |
29 |
$484.59 |
| 83655 |
|
31 |
27 |
$367.66 |
| 90686 |
|
18 |
16 |
$300.78 |
| 85018 |
|
46 |
40 |
$106.72 |