| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
746 |
706 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
323 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
663 |
629 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
102 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
85 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
63 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
128 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$3K |
| 92551 |
|
594 |
589 |
$3K |
| 99173 |
|
565 |
562 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
217 |
211 |
$2K |
| 99188 |
|
52 |
52 |
$1K |
| 99177 |
|
100 |
97 |
$937.50 |
| 90672 |
|
55 |
51 |
$637.50 |
| 90686 |
|
109 |
84 |
$600.00 |
| 90633 |
|
12 |
12 |
$150.00 |
| 83655 |
|
12 |
12 |
$145.00 |
| 90670 |
|
13 |
13 |
$137.50 |
| 90698 |
|
13 |
13 |
$137.50 |
| 96127 |
|
56 |
55 |
$71.88 |
| 96160 |
|
29 |
29 |
$5.99 |
| 80061 |
Lipid panel |
14 |
14 |
$0.05 |