| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,941 |
2,318 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
688 |
553 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
518 |
439 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
370 |
332 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
242 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
131 |
$11K |
| 90658 |
|
407 |
383 |
$4K |
| 99174 |
|
489 |
426 |
$2K |
| 90677 |
|
60 |
55 |
$2K |
| 99173 |
|
697 |
606 |
$1K |
| 90670 |
|
87 |
71 |
$1K |
| 96127 |
|
222 |
201 |
$904.32 |
| 90656 |
|
33 |
33 |
$698.40 |
| 90633 |
|
47 |
37 |
$651.84 |
| 90697 |
|
32 |
25 |
$530.76 |
| 90680 |
|
27 |
24 |
$488.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
62 |
$469.58 |
| 90698 |
|
46 |
41 |
$325.92 |
| 90651 |
|
13 |
13 |
$302.64 |
| 90710 |
|
22 |
15 |
$232.80 |
| 90688 |
|
24 |
24 |
$23.28 |
| 90685 |
|
31 |
26 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$0.00 |