| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,286 |
1,122 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
200 |
173 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
369 |
338 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
29 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
12 |
$1K |
| 90670 |
|
29 |
26 |
$327.80 |
| 90688 |
|
33 |
32 |
$222.64 |
| 90674 |
|
12 |
12 |
$200.52 |
| 90698 |
|
26 |
26 |
$166.40 |
| 90744 |
|
14 |
13 |
$89.60 |
| 90680 |
|
12 |
12 |
$76.80 |