| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
595 |
449 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
611 |
543 |
$28K |
| 90677 |
|
347 |
277 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
251 |
217 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
83 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
314 |
279 |
$5K |
| 96127 |
|
244 |
226 |
$4K |
| 90697 |
|
177 |
151 |
$3K |
| 90647 |
|
153 |
99 |
$3K |
| 90723 |
|
118 |
73 |
$2K |
| 90680 |
|
96 |
54 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
65 |
$1K |
| 90686 |
|
71 |
55 |
$1K |
| 90656 |
|
67 |
66 |
$1K |
| 83655 |
|
105 |
87 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
110 |
97 |
$1K |
| 90681 |
|
50 |
40 |
$835.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$712.45 |
| 90633 |
|
36 |
30 |
$601.56 |
| 90670 |
|
27 |
27 |
$451.17 |
| 90734 |
|
26 |
23 |
$434.46 |
| 36416 |
|
82 |
67 |
$336.20 |
| 85018 |
|
134 |
111 |
$279.56 |
| 90710 |
|
15 |
14 |
$250.65 |
| 90696 |
|
12 |
12 |
$200.52 |