| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,106 |
1,515 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,806 |
1,334 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,496 |
1,129 |
$79K |
| 90670 |
|
1,010 |
755 |
$27K |
| 96127 |
|
1,838 |
1,402 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
377 |
311 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
869 |
624 |
$18K |
| 90686 |
|
1,239 |
853 |
$16K |
| 90677 |
|
192 |
147 |
$10K |
| 90723 |
|
737 |
546 |
$8K |
| 90647 |
|
723 |
531 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
236 |
160 |
$5K |
| 90633 |
|
442 |
300 |
$4K |
| 83655 |
|
358 |
260 |
$4K |
| 90680 |
|
378 |
294 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
58 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
24 |
$2K |
| 90656 |
|
115 |
110 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
128 |
122 |
$2K |
| 36416 |
|
210 |
133 |
$861.00 |
| 85018 |
|
336 |
238 |
$739.05 |
| 91318 |
|
26 |
18 |
$595.80 |
| 90651 |
|
28 |
26 |
$467.88 |
| 90734 |
|
25 |
25 |
$417.75 |
| 90716 |
|
21 |
12 |
$350.91 |
| 90710 |
|
42 |
24 |
$268.80 |
| 90696 |
|
23 |
12 |
$147.20 |