| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
570 |
496 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
484 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
331 |
251 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
277 |
243 |
$19K |
| 87428 |
|
168 |
150 |
$11K |
| 90677 |
|
145 |
126 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
481 |
426 |
$9K |
| 96127 |
|
105 |
95 |
$2K |
| 90670 |
|
91 |
65 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$1K |
| 87807 |
|
86 |
82 |
$865.16 |
| 90723 |
|
51 |
41 |
$848.06 |
| 90656 |
|
43 |
41 |
$718.53 |
| 83655 |
|
58 |
38 |
$687.88 |
| 90633 |
|
36 |
27 |
$601.56 |
| 90686 |
|
50 |
42 |
$595.97 |
| 90680 |
|
33 |
27 |
$547.28 |
| 90647 |
|
27 |
25 |
$451.17 |
| 85018 |
|
92 |
68 |
$211.12 |