| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
204 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
75 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
66 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
36 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| 99188 |
|
91 |
68 |
$738.10 |
| 90656 |
|
57 |
53 |
$602.55 |
| 90671 |
|
86 |
62 |
$591.30 |
| 90697 |
|
71 |
52 |
$556.20 |
| 90680 |
|
61 |
46 |
$394.20 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
12 |
$305.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
38 |
30 |
$199.80 |
| 92551 |
|
38 |
27 |
$168.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
36 |
$114.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
43 |
$100.36 |
| 99177 |
|
56 |
41 |
$0.00 |