| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,800 |
2,425 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
618 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
803 |
777 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
685 |
652 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
783 |
664 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
206 |
189 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,926 |
1,833 |
$16K |
| 92551 |
|
1,642 |
1,555 |
$15K |
| 90686 |
|
392 |
359 |
$8K |
| 90670 |
|
243 |
217 |
$5K |
| 90697 |
|
82 |
81 |
$5K |
| 99173 |
|
1,675 |
1,588 |
$4K |
| 90648 |
|
123 |
118 |
$3K |
| 96127 |
|
477 |
451 |
$2K |
| 90677 |
|
29 |
29 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
49 |
$1K |
| 90657 |
|
37 |
36 |
$744.96 |
| 90680 |
|
29 |
26 |
$628.56 |
| 90700 |
|
26 |
25 |
$582.00 |
| 90633 |
|
26 |
24 |
$582.00 |
| 90651 |
|
13 |
13 |
$556.08 |
| 96160 |
|
344 |
320 |
$363.21 |
| 90723 |
|
14 |
14 |
$325.92 |
| 90716 |
|
12 |
12 |
$256.08 |
| 96161 |
|
107 |
95 |
$49.86 |
| 3008F |
|
198 |
189 |
$45.00 |
| 99000 |
|
192 |
159 |
$3.12 |