| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
915 |
911 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
487 |
486 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
334 |
332 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
241 |
241 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
265 |
259 |
$21K |
| 90686 |
|
1,015 |
1,015 |
$14K |
| 92551 |
|
1,251 |
1,250 |
$11K |
| 99173 |
|
908 |
907 |
$5K |
| 99177 |
|
544 |
543 |
$5K |
| 91321 |
|
94 |
94 |
$2K |
| 90670 |
|
119 |
118 |
$2K |
| 90677 |
|
81 |
81 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 90647 |
|
82 |
81 |
$2K |
| 90723 |
|
81 |
80 |
$1K |
| 0071A |
|
36 |
36 |
$1K |
| 90661 |
|
61 |
61 |
$1K |
| 90633 |
|
67 |
67 |
$1K |
| 90656 |
|
49 |
49 |
$1K |
| 96161 |
|
97 |
97 |
$766.47 |
| 90660 |
|
29 |
29 |
$652.50 |
| 96127 |
|
402 |
402 |
$651.80 |
| 90651 |
|
40 |
40 |
$585.00 |
| 90680 |
|
24 |
24 |
$540.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
299 |
298 |
$522.63 |
| 83655 |
|
32 |
32 |
$488.75 |
| 0072A |
|
12 |
12 |
$480.00 |
| 96160 |
|
419 |
419 |
$266.66 |
| 85018 |
|
33 |
33 |
$177.30 |
| 91307 |
|
32 |
32 |
$0.32 |
| 91311 |
|
12 |
12 |
$0.12 |