| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,425 |
1,287 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
954 |
896 |
$7K |
| 85018 |
|
442 |
441 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
256 |
$2K |
| 92551 |
|
375 |
374 |
$2K |
| 99215 |
Prolong outpt/office vis |
68 |
66 |
$1K |
| 92081 |
|
213 |
213 |
$1K |
| 90688 |
|
94 |
94 |
$852.85 |
| 81000 |
|
139 |
138 |
$623.71 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
166 |
166 |
$597.79 |
| 83518 |
|
57 |
55 |
$579.11 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
41 |
$475.15 |
| 92082 |
|
58 |
58 |
$318.26 |
| 90680 |
|
15 |
15 |
$214.89 |
| 90633 |
|
12 |
12 |
$179.74 |
| 86580 |
|
26 |
26 |
$177.56 |
| 90685 |
|
14 |
14 |
$125.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$108.99 |
| 90670 |
|
19 |
19 |
$77.63 |
| 90698 |
|
15 |
15 |
$68.63 |
| 90651 |
|
13 |
13 |
$18.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 88738 |
|
92 |
92 |
$0.00 |