| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,637 |
1,530 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
632 |
581 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
189 |
186 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
156 |
143 |
$20K |
| 90686 |
|
395 |
390 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$5K |
| 96127 |
|
349 |
277 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
91 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
213 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
18 |
$2K |
| 96161 |
|
86 |
80 |
$1K |
| 90670 |
|
25 |
24 |
$527.04 |
| 99177 |
|
54 |
52 |
$315.00 |
| 96160 |
|
47 |
46 |
$295.35 |
| 90651 |
|
12 |
12 |
$153.72 |
| 91307 |
|
14 |
12 |
$0.00 |