| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,439 |
2,131 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,118 |
1,889 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
108 |
$10K |
| 90686 |
|
573 |
557 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
69 |
$7K |
| 85018 |
|
1,040 |
983 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
133 |
112 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 99173 |
|
300 |
285 |
$525.01 |
| 99177 |
|
107 |
102 |
$505.60 |
| 92558 |
|
13 |
13 |
$87.30 |
| 36416 |
|
689 |
657 |
$15.10 |