| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,106 |
3,692 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
856 |
849 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
583 |
579 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
460 |
456 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
351 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
214 |
$19K |
| 92551 |
|
1,869 |
1,857 |
$17K |
| 99173 |
|
1,848 |
1,836 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
92 |
$694.18 |
| 90686 |
|
29 |
29 |
$303.03 |
| 90698 |
|
39 |
38 |
$272.00 |
| 83655 |
|
27 |
27 |
$267.50 |
| 90619 |
|
17 |
17 |
$187.00 |
| 90670 |
|
27 |
27 |
$163.00 |
| 85018 |
|
13 |
13 |
$44.78 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |