| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
569 |
537 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
279 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
364 |
309 |
$3K |
| G9920 |
Screening performed and negative |
1,020 |
501 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
174 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
184 |
181 |
$1K |
| 90677 |
|
140 |
140 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
104 |
$930.52 |
| 92551 |
|
47 |
47 |
$516.23 |
| 96160 |
|
353 |
126 |
$200.00 |
| 99188 |
|
15 |
15 |
$72.00 |
| 99000 |
|
84 |
81 |
$58.72 |
| 83655 |
|
75 |
73 |
$36.00 |
| 90633 |
|
65 |
64 |
$36.00 |
| 90647 |
|
109 |
108 |
$18.03 |
| 90707 |
|
52 |
52 |
$0.07 |
| 90716 |
|
15 |
14 |
$0.01 |
| 90700 |
|
14 |
14 |
$0.01 |
| 85018 |
|
123 |
94 |
$0.00 |