| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,153 |
1,710 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,371 |
1,114 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
784 |
647 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
609 |
561 |
$38K |
| 96127 |
|
1,307 |
1,094 |
$19K |
| 90677 |
|
365 |
294 |
$15K |
| 90670 |
|
442 |
368 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
354 |
309 |
$7K |
| 90723 |
|
419 |
345 |
$6K |
| 90647 |
|
349 |
287 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
350 |
316 |
$5K |
| 90686 |
|
334 |
267 |
$5K |
| 90680 |
|
300 |
235 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
193 |
$3K |
| 83655 |
|
249 |
218 |
$3K |
| 90633 |
|
166 |
134 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
42 |
$2K |
| 90697 |
|
127 |
107 |
$2K |
| 90681 |
|
48 |
39 |
$802.08 |
| 85018 |
|
292 |
257 |
$616.68 |
| 36416 |
|
127 |
107 |
$520.70 |
| 90651 |
|
12 |
12 |
$440.76 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
26 |
$394.20 |
| 90656 |
|
23 |
17 |
$375.48 |
| 88720 |
|
78 |
53 |
$314.60 |
| 87807 |
|
12 |
12 |
$95.57 |