| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,508 |
2,384 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
497 |
489 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
411 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
417 |
412 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
192 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
73 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
714 |
707 |
$4K |
| 92551 |
|
447 |
441 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$3K |
| 99173 |
|
539 |
531 |
$3K |
| 99383 |
|
68 |
68 |
$2K |
| 99384 |
|
39 |
39 |
$1K |
| 99382 |
|
17 |
17 |
$835.50 |
| 90647 |
|
127 |
126 |
$814.00 |
| 90671 |
|
65 |
65 |
$528.00 |
| 90633 |
|
31 |
31 |
$368.17 |
| 90681 |
|
24 |
24 |
$132.00 |
| 90686 |
|
59 |
59 |
$0.00 |
| 90723 |
|
92 |
92 |
$0.00 |
| 90670 |
|
50 |
50 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |