| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,981 |
1,943 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,603 |
3,058 |
$121K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,185 |
1,160 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
916 |
794 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
743 |
693 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
846 |
703 |
$37K |
| 97803 |
|
1,796 |
1,786 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
421 |
399 |
$24K |
| 96151 |
|
1,061 |
1,049 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
279 |
274 |
$20K |
| 92551 |
|
1,140 |
1,134 |
$14K |
| 99381 |
|
93 |
81 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
404 |
384 |
$6K |
| 90670 |
|
636 |
627 |
$6K |
| 90686 |
|
525 |
516 |
$5K |
| 90680 |
|
434 |
425 |
$4K |
| 96127 |
|
557 |
553 |
$3K |
| 96150 |
|
145 |
144 |
$3K |
| 90744 |
|
303 |
299 |
$3K |
| 81000 |
|
816 |
811 |
$2K |
| 90698 |
|
226 |
225 |
$2K |
| 90700 |
|
166 |
166 |
$1K |
| 90648 |
|
137 |
137 |
$1K |
| 90633 |
|
95 |
95 |
$846.00 |
| 83655 |
|
46 |
44 |
$681.61 |
| 90651 |
|
66 |
66 |
$594.00 |
| 90685 |
|
64 |
64 |
$576.00 |
| 92552 |
|
39 |
39 |
$526.91 |
| 90734 |
|
37 |
37 |
$333.00 |
| 90713 |
|
34 |
34 |
$306.00 |
| 90707 |
|
29 |
29 |
$261.00 |
| 99173 |
|
91 |
90 |
$243.76 |
| 97802 |
|
13 |
13 |
$236.69 |
| 90716 |
|
25 |
25 |
$225.00 |
| 90620 |
|
15 |
15 |
$126.00 |
| 90658 |
|
12 |
12 |
$108.00 |
| 86580 |
|
49 |
49 |
$3.36 |
| 85999 |
|
48 |
48 |
$3.01 |
| 81001 |
|
48 |
48 |
$0.00 |
| G9920 |
Screening performed and negative |
73 |
73 |
$0.00 |