| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,256 |
910 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
43 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
86 |
$3K |
| 90686 |
|
300 |
193 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 92551 |
|
268 |
212 |
$1K |
| 81002 |
|
268 |
210 |
$513.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
77 |
$297.45 |
| 99173 |
|
260 |
203 |
$293.67 |
| 85013 |
|
103 |
90 |
$241.58 |
| 99000 |
|
120 |
107 |
$172.96 |
| 87430 |
|
15 |
14 |
$110.88 |
| 36416 |
|
105 |
91 |
$1.02 |