| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,221 |
1,137 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
131 |
$18K |
| 90686 |
|
584 |
564 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
198 |
185 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$1K |
| 0072A |
|
17 |
17 |
$680.00 |
| 0071A |
|
15 |
15 |
$600.00 |
| 99173 |
|
147 |
147 |
$379.60 |
| 90688 |
|
16 |
16 |
$364.26 |