| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,456 |
4,596 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
590 |
536 |
$39K |
| 90686 |
|
582 |
441 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
66 |
$2K |
| 90651 |
|
19 |
18 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 90656 |
|
88 |
64 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$1K |
| 90670 |
|
13 |
12 |
$541.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$241.18 |
| 81003 |
|
12 |
12 |
$26.16 |