| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96160 |
|
5,842 |
5,489 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,351 |
2,140 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,076 |
8,096 |
$377.62 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
139 |
$234.60 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,547 |
2,337 |
$121.77 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
631 |
578 |
$90.82 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,005 |
975 |
$23.69 |
| 99201 |
|
95 |
95 |
$22.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
146 |
141 |
$0.00 |
| 96156 |
|
1,005 |
972 |
$0.00 |
| 3008F |
|
639 |
605 |
$0.00 |
| 96150 |
|
190 |
187 |
$0.00 |
| 96127 |
|
53 |
52 |
$0.00 |
| 92556 |
|
489 |
487 |
$0.00 |
| 3512F |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,540 |
2,367 |
$0.00 |
| 99173 |
|
621 |
619 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
119 |
$0.00 |
| 3511F |
|
12 |
12 |
$0.00 |