| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
514 |
506 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
216 |
173 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
365 |
358 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
953 |
886 |
$1K |
| 90686 |
|
130 |
128 |
$891.40 |
| 90670 |
|
102 |
93 |
$674.04 |
| 90698 |
|
85 |
77 |
$654.28 |
| 90734 |
|
13 |
13 |
$256.88 |
| 90680 |
|
42 |
40 |
$239.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,182 |
1,138 |
$124.83 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
65 |
$91.66 |
| 99173 |
|
910 |
879 |
$26.46 |
| 96160 |
|
195 |
168 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |