| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,400 |
6,129 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
962 |
957 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,076 |
2,072 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,641 |
1,640 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,771 |
1,771 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,218 |
1,213 |
$30K |
| 99381 |
|
244 |
243 |
$27K |
| G9920 |
Screening performed and negative |
3,420 |
3,414 |
$8K |
| 92552 |
|
4,009 |
4,008 |
$6K |
| 90698 |
|
911 |
909 |
$5K |
| 85018 |
|
4,949 |
4,850 |
$4K |
| 90680 |
|
729 |
728 |
$4K |
| 90744 |
|
469 |
469 |
$3K |
| 90670 |
|
701 |
699 |
$3K |
| 90686 |
|
1,124 |
1,124 |
$3K |
| 90671 |
|
321 |
321 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 92081 |
|
3,574 |
3,573 |
$655.28 |
| 90715 |
|
175 |
173 |
$212.00 |
| 90651 |
|
630 |
626 |
$208.00 |
| 90633 |
|
277 |
277 |
$162.00 |
| 90619 |
|
291 |
291 |
$135.00 |
| 90734 |
|
227 |
225 |
$117.00 |
| 81003 |
|
2,629 |
2,624 |
$102.94 |
| 90710 |
|
26 |
26 |
$9.00 |
| 90696 |
|
14 |
14 |
$9.00 |
| 90620 |
|
29 |
29 |
$9.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |