| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,135 |
1,064 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
287 |
287 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
224 |
224 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
158 |
$12K |
| 90686 |
|
356 |
356 |
$4K |
| 92551 |
|
321 |
321 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$3K |
| 90670 |
|
165 |
164 |
$2K |
| 99188 |
|
100 |
99 |
$2K |
| 90723 |
|
85 |
84 |
$995.28 |
| 90647 |
|
70 |
69 |
$811.36 |
| 90680 |
|
64 |
63 |
$755.48 |
| 90651 |
|
60 |
60 |
$711.81 |
| 85018 |
|
187 |
187 |
$535.53 |
| 88738 |
|
61 |
61 |
$366.56 |
| 90685 |
|
28 |
27 |
$327.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23 |
12 |
$204.81 |
| 90715 |
|
14 |
14 |
$171.82 |
| 96161 |
|
43 |
42 |
$168.68 |
| 90633 |
|
13 |
13 |
$147.07 |
| 82465 |
|
13 |
13 |
$68.64 |
| 96127 |
|
21 |
14 |
$61.50 |
| 36416 |
|
86 |
83 |
$12.55 |