| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
453 |
428 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
174 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
85 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
69 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
58 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
255 |
221 |
$4K |
| 96160 |
|
105 |
99 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90633 |
|
16 |
12 |
$267.36 |
| 96127 |
|
13 |
13 |
$189.80 |
| 36416 |
|
36 |
30 |
$147.60 |
| 85018 |
|
36 |
30 |
$83.52 |