| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,027 |
990 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
496 |
491 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
290 |
282 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
256 |
253 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
198 |
190 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
83 |
$8K |
| 90670 |
|
110 |
108 |
$968.00 |
| 90686 |
|
143 |
142 |
$864.00 |
| 87428 |
|
14 |
14 |
$792.26 |
| 90648 |
|
59 |
57 |
$408.00 |
| 90688 |
|
13 |
13 |
$269.10 |
| 99188 |
|
13 |
13 |
$217.80 |
| 96127 |
|
298 |
288 |
$202.40 |
| 90680 |
|
28 |
28 |
$168.00 |
| 90633 |
|
13 |
13 |
$143.00 |
| 90687 |
|
12 |
12 |
$132.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
90 |
$115.50 |
| 92551 |
|
419 |
406 |
$104.00 |
| 99173 |
|
176 |
171 |
$58.00 |
| 85018 |
|
34 |
30 |
$10.63 |
| 96160 |
|
220 |
213 |
$0.00 |
| 83655 |
|
48 |
46 |
$0.00 |
| 96161 |
|
88 |
83 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |