| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,379 |
3,819 |
$328K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,753 |
5,136 |
$288K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,625 |
1,411 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,342 |
1,280 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,166 |
1,099 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
845 |
694 |
$58K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,014 |
1,763 |
$32K |
| 90670 |
|
748 |
571 |
$7K |
| 90633 |
|
325 |
273 |
$4K |
| 90677 |
|
123 |
106 |
$2K |
| 90688 |
|
245 |
210 |
$2K |
| 90680 |
|
193 |
145 |
$2K |
| 90734 |
|
205 |
169 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 90698 |
|
142 |
106 |
$1K |
| 90619 |
|
67 |
64 |
$1K |
| 90651 |
|
80 |
63 |
$1K |
| 90710 |
|
60 |
44 |
$936.18 |
| 90715 |
|
84 |
79 |
$834.88 |
| 90696 |
|
57 |
41 |
$748.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
39 |
$585.52 |
| 90686 |
|
26 |
14 |
$255.15 |
| 90716 |
|
19 |
12 |
$156.00 |
| 90707 |
|
18 |
12 |
$132.40 |
| 90648 |
|
12 |
12 |
$76.80 |
| 1003F |
|
1,017 |
905 |
$5.00 |
| 1036F |
|
324 |
263 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 1220F |
|
297 |
236 |
$0.00 |