| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,390 |
1,133 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
352 |
267 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
267 |
200 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
112 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
81 |
$8K |
| 90670 |
|
226 |
182 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
59 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 90647 |
|
120 |
84 |
$1K |
| 90686 |
|
133 |
123 |
$991.32 |
| 90723 |
|
102 |
67 |
$933.52 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$805.56 |
| 90633 |
|
41 |
25 |
$470.48 |
| 90681 |
|
22 |
12 |
$245.52 |