| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
424 |
367 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
105 |
$8K |
| 96127 |
|
372 |
344 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
79 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
60 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
54 |
$4K |
| 96160 |
|
297 |
276 |
$4K |
| 90656 |
|
79 |
79 |
$1K |
| 90677 |
|
43 |
37 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 90686 |
|
50 |
43 |
$780.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$234.78 |
| 90697 |
|
14 |
12 |
$221.67 |
| 99173 |
|
13 |
12 |
$80.50 |
| 99174 |
|
13 |
13 |
$69.30 |
| 36416 |
|
12 |
12 |
$47.15 |
| 85018 |
|
19 |
18 |
$28.45 |