| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,966 |
2,432 |
$330K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
83 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
98 |
98 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$9K |
| 92551 |
|
671 |
670 |
$8K |
| G9920 |
Screening performed and negative |
294 |
292 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$2K |
| 99402 |
|
27 |
27 |
$2K |
| 99173 |
|
583 |
582 |
$2K |
| 94150 |
|
222 |
154 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$2K |