| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,508 |
6,361 |
$220K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,440 |
2,410 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,125 |
1,125 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,015 |
995 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
997 |
997 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,032 |
3,797 |
$42K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,320 |
4,313 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
666 |
666 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
613 |
613 |
$11K |
| 96127 |
|
615 |
610 |
$7K |