| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,523 |
1,286 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,331 |
1,117 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,343 |
1,312 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
829 |
801 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
397 |
379 |
$6K |
| 90670 |
|
362 |
350 |
$1K |
| 90649 |
|
260 |
252 |
$810.80 |
| 90734 |
|
124 |
117 |
$633.92 |
| 97803 |
|
2,286 |
2,216 |
$380.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,488 |
2,376 |
$261.05 |
| 90620 |
|
12 |
12 |
$170.16 |
| 90680 |
|
128 |
125 |
$70.90 |
| 90698 |
|
26 |
26 |
$14.18 |
| 90633 |
|
25 |
25 |
$14.18 |
| 97802 |
|
382 |
371 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 87110 |
|
32 |
32 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |