| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
523 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
192 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
138 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
280 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
31 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
106 |
102 |
$1K |
| 99173 |
|
13 |
12 |
$113.74 |
| 99000 |
|
80 |
66 |
$3.10 |
| 96161 |
|
15 |
14 |
$0.00 |