| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,481 |
7,281 |
$632K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,994 |
9,598 |
$593K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,129 |
959 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,235 |
985 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
667 |
489 |
$51K |
| 92551 |
|
2,796 |
2,268 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,567 |
2,174 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
464 |
359 |
$31K |
| 99173 |
|
2,731 |
2,302 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
208 |
198 |
$18K |
| 90686 |
|
1,460 |
1,202 |
$16K |
| 90651 |
|
420 |
333 |
$10K |
| 90700 |
|
555 |
429 |
$5K |
| 90734 |
|
327 |
207 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
43 |
$4K |
| 99385 |
|
37 |
26 |
$4K |
| 90670 |
|
190 |
158 |
$3K |
| 90713 |
|
301 |
232 |
$3K |
| 90648 |
|
239 |
185 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
34 |
$2K |
| 90715 |
|
97 |
61 |
$1K |
| 90716 |
|
63 |
45 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 90672 |
|
111 |
100 |
$1K |
| 90619 |
|
67 |
62 |
$1K |
| 90685 |
|
157 |
128 |
$1K |
| 90707 |
|
71 |
52 |
$1K |
| 90744 |
|
17 |
13 |
$269.44 |
| 90633 |
|
15 |
12 |
$224.12 |
| 90680 |
|
22 |
12 |
$140.80 |
| 90660 |
|
21 |
12 |
$0.00 |