| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,576 |
1,858 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
567 |
483 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
215 |
202 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
84 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
666 |
445 |
$8K |
| 90658 |
|
326 |
303 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
36 |
$4K |
| 96127 |
|
668 |
447 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
57 |
$2K |
| 90674 |
|
42 |
41 |
$861.36 |
| 92551 |
|
45 |
44 |
$410.18 |
| 90688 |
|
80 |
14 |
$349.20 |
| 90710 |
|
13 |
13 |
$279.36 |
| 90698 |
|
12 |
12 |
$279.36 |
| 90670 |
|
14 |
13 |
$256.08 |
| 90651 |
|
13 |
13 |
$256.08 |
| 90633 |
|
12 |
12 |
$232.80 |
| 99173 |
|
97 |
60 |
$166.92 |