| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
452 |
387 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
69 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
66 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
52 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90 |
82 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
30 |
$2K |
| 99173 |
|
352 |
330 |
$2K |
| 92552 |
|
234 |
226 |
$1K |
| 90688 |
|
142 |
80 |
$671.03 |
| 90700 |
|
101 |
76 |
$671.00 |
| 90713 |
|
82 |
59 |
$517.00 |
| 90670 |
|
40 |
27 |
$297.00 |
| 81003 |
|
137 |
131 |
$226.38 |
| 92551 |
|
89 |
81 |
$166.05 |
| 81000 |
|
79 |
72 |
$85.34 |
| 96161 |
|
13 |
13 |
$49.79 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
18 |
$15.38 |
| 96160 |
|
30 |
30 |
$7.66 |
| 96127 |
|
26 |
26 |
$4.40 |