| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,768 |
2,137 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,232 |
1,731 |
$156K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,975 |
1,481 |
$150K |
| 96127 |
|
2,448 |
1,907 |
$35K |
| 90670 |
|
1,435 |
1,080 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
315 |
264 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,029 |
808 |
$19K |
| 90677 |
|
329 |
270 |
$17K |
| 90723 |
|
1,133 |
835 |
$12K |
| 90647 |
|
1,093 |
782 |
$12K |
| 90680 |
|
795 |
584 |
$9K |
| 90686 |
|
682 |
531 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
51 |
$7K |
| 83655 |
|
380 |
290 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
279 |
258 |
$4K |
| 90633 |
|
341 |
245 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
37 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
125 |
107 |
$3K |
| 90697 |
|
112 |
93 |
$2K |
| 90656 |
|
67 |
62 |
$1K |
| 36416 |
|
270 |
188 |
$1K |
| 0071A |
|
24 |
13 |
$1K |
| 85018 |
|
376 |
284 |
$972.78 |
| 99460 |
|
12 |
12 |
$674.22 |
| 90681 |
|
32 |
27 |
$534.72 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25 |
24 |
$365.00 |
| 90707 |
|
28 |
12 |
$333.20 |
| 90700 |
|
26 |
12 |
$308.08 |
| 90651 |
|
15 |
14 |
$250.65 |
| 90734 |
|
15 |
12 |
$246.50 |
| 90716 |
|
20 |
13 |
$128.00 |