| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,621 |
1,554 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
994 |
964 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
265 |
261 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
183 |
182 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
137 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
125 |
$12K |
| 99173 |
|
1,002 |
987 |
$5K |
| 92551 |
|
883 |
870 |
$4K |
| 90688 |
|
219 |
201 |
$935.00 |
| 96127 |
|
365 |
360 |
$409.25 |
| 96161 |
|
102 |
102 |
$353.05 |
| 90677 |
|
14 |
14 |
$161.00 |
| 90670 |
|
74 |
74 |
$132.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
39 |
$113.00 |
| 90698 |
|
45 |
45 |
$22.00 |
| 96160 |
|
269 |
267 |
$3.83 |
| 90671 |
|
13 |
13 |
$0.00 |
| 99188 |
|
398 |
394 |
$0.00 |
| 99499 |
|
96 |
96 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
230 |
226 |
$0.00 |
| 90680 |
|
17 |
17 |
$0.00 |