| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,958 |
3,597 |
$317K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,849 |
3,257 |
$235K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,034 |
1,976 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,682 |
1,676 |
$171K |
| G9920 |
Screening performed and negative |
2,062 |
2,035 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
429 |
408 |
$56K |
| 90697 |
|
1,211 |
1,175 |
$37K |
| 90671 |
|
1,606 |
1,567 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
127 |
$15K |
| 92552 |
|
431 |
428 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
789 |
756 |
$13K |
| 99188 |
|
590 |
581 |
$12K |
| 90680 |
|
968 |
939 |
$10K |
| 90686 |
|
701 |
695 |
$9K |
| 90633 |
|
661 |
659 |
$9K |
| 90716 |
|
467 |
465 |
$6K |
| 90707 |
|
451 |
449 |
$6K |
| 83655 |
|
383 |
381 |
$4K |
| 99173 |
|
442 |
439 |
$3K |
| 90700 |
|
194 |
194 |
$3K |
| 85018 |
|
602 |
598 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
216 |
$994.25 |
| 90648 |
|
80 |
79 |
$720.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
13 |
$580.00 |
| 90381 |
|
47 |
45 |
$423.00 |
| 90380 |
|
46 |
46 |
$414.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
236 |
232 |
$344.94 |
| 90670 |
|
27 |
24 |
$261.00 |
| 90698 |
|
25 |
25 |
$234.00 |
| 90696 |
|
13 |
13 |
$207.00 |