| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,782 |
1,499 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
350 |
341 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
210 |
205 |
$21K |
| S9451 |
Exercise classes, non-physician provider, per session |
613 |
597 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
108 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
53 |
$6K |
| 90686 |
|
433 |
425 |
$5K |
| 92551 |
|
487 |
480 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
425 |
383 |
$4K |
| 99401 |
|
603 |
586 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
72 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$1K |
| 0001A |
|
33 |
33 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
14 |
$1K |
| 0071A |
|
27 |
27 |
$1K |
| 0002A |
|
25 |
25 |
$1K |
| 90670 |
|
59 |
59 |
$584.00 |
| 90648 |
|
57 |
57 |
$544.00 |
| 99173 |
|
519 |
509 |
$537.00 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90633 |
|
25 |
25 |
$250.00 |
| 90700 |
|
15 |
15 |
$147.00 |
| 90707 |
|
16 |
15 |
$147.00 |
| 90716 |
|
16 |
15 |
$137.00 |
| 86580 |
|
12 |
12 |
$95.54 |
| 91307 |
|
16 |
16 |
$0.00 |