| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,286 |
2,668 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
897 |
846 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
396 |
382 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
320 |
310 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
199 |
160 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
179 |
$18K |
| 90686 |
|
738 |
682 |
$16K |
| 90670 |
|
97 |
95 |
$2K |
| 90698 |
|
32 |
32 |
$721.68 |
| 90651 |
|
27 |
27 |
$628.56 |
| 90734 |
|
18 |
18 |
$419.04 |
| 90715 |
|
14 |
14 |
$325.92 |
| 90680 |
|
12 |
12 |
$279.36 |
| 90633 |
|
13 |
12 |
$232.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$159.48 |