| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
795 |
732 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
199 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
75 |
53 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
56 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
44 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
195 |
163 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
30 |
$3K |
| 90686 |
|
86 |
71 |
$1K |
| 90670 |
|
55 |
41 |
$352.00 |
| 90647 |
|
21 |
15 |
$134.40 |
| 90734 |
|
19 |
13 |
$121.60 |