| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
913 |
740 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
44 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
130 |
$986.18 |
| 99499 |
|
389 |
324 |
$942.72 |
| 99429 |
|
387 |
322 |
$882.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
128 |
108 |
$814.38 |
| 90688 |
|
127 |
99 |
$421.92 |
| 97802 |
|
95 |
75 |
$231.30 |
| 96127 |
|
148 |
128 |
$94.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
61 |
$70.32 |
| 99188 |
|
87 |
59 |
$26.50 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
60 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90651 |
|
19 |
19 |
$0.00 |