| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,186 |
2,014 |
$108K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
961 |
868 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
698 |
666 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
709 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
440 |
397 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
88 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
70 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
133 |
$6K |
| 90648 |
|
412 |
370 |
$5K |
| 90677 |
|
212 |
189 |
$2K |
| 51798 |
|
40 |
40 |
$2K |
| 99188 |
|
104 |
95 |
$2K |
| 93000 |
|
52 |
50 |
$2K |
| 90633 |
|
162 |
155 |
$2K |
| 99173 |
|
356 |
337 |
$2K |
| 90670 |
|
149 |
140 |
$2K |
| 90723 |
|
139 |
127 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
35 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 90674 |
|
103 |
98 |
$1K |
| 90680 |
|
101 |
93 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$286.00 |
| 92551 |
|
16 |
16 |
$222.56 |
| 96127 |
|
28 |
28 |
$168.28 |
| 3079F |
|
12 |
12 |
$0.00 |