| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,364 |
2,073 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
310 |
306 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
325 |
309 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
135 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
163 |
$11K |
| 92551 |
|
307 |
303 |
$4K |
| 99383 |
|
58 |
58 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$2K |
| 99382 |
|
25 |
25 |
$1K |
| 99173 |
|
217 |
216 |
$1K |
| 90670 |
|
85 |
84 |
$945.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$913.72 |
| 90698 |
|
55 |
54 |
$618.75 |
| 90707 |
|
39 |
39 |
$416.25 |
| 90744 |
|
36 |
36 |
$405.00 |
| 90677 |
|
30 |
30 |
$326.26 |
| 90716 |
|
29 |
29 |
$303.75 |
| 90713 |
|
16 |
16 |
$180.00 |
| 90702 |
|
15 |
15 |
$168.75 |
| 96127 |
|
28 |
27 |
$168.28 |
| 90700 |
|
14 |
12 |
$157.50 |
| 90688 |
|
14 |
14 |
$157.50 |
| 90656 |
|
12 |
12 |
$123.76 |
| 99050 |
|
27 |
26 |
$0.00 |