| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,743 |
1,523 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,416 |
1,328 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,064 |
1,774 |
$90K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
769 |
702 |
$12K |
| 90670 |
|
1,268 |
1,163 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
101 |
$7K |
| 90647 |
|
910 |
825 |
$6K |
| 90723 |
|
905 |
816 |
$6K |
| 90680 |
|
801 |
717 |
$5K |
| 90633 |
|
482 |
452 |
$4K |
| 90686 |
|
377 |
375 |
$2K |
| 90716 |
|
65 |
57 |
$653.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$646.90 |
| 90707 |
|
76 |
68 |
$621.24 |
| 90700 |
|
75 |
68 |
$609.87 |
| 90685 |
|
60 |
60 |
$449.43 |
| 96127 |
|
27 |
27 |
$394.20 |
| 90710 |
|
22 |
22 |
$134.40 |
| 90696 |
|
22 |
21 |
$134.40 |