| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,279 |
6,459 |
$490K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,247 |
3,934 |
$370K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,216 |
1,170 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
944 |
920 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
602 |
575 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
265 |
$23K |
| 92551 |
|
857 |
828 |
$10K |
| 99173 |
|
255 |
245 |
$4K |
| 99401 |
|
37 |
36 |
$1K |
| 99381 |
|
12 |
12 |
$989.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$479.85 |