| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
710 |
502 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
158 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
60 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
30 |
$3K |
| 87428 |
|
40 |
25 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
132 |
109 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
25 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 90656 |
|
44 |
43 |
$756.01 |
| 90686 |
|
37 |
34 |
$618.27 |
| 90723 |
|
24 |
16 |
$401.04 |
| 90677 |
|
24 |
17 |
$401.04 |
| 90648 |
|
20 |
15 |
$334.20 |
| 99173 |
|
44 |
43 |
$327.80 |