| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,725 |
2,476 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
374 |
336 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
384 |
364 |
$19K |
| 99381 |
|
213 |
183 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
683 |
672 |
$11K |
| G9920 |
Screening performed and negative |
225 |
219 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
106 |
71 |
$5K |
| 90670 |
|
700 |
696 |
$5K |
| 90648 |
|
742 |
735 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
179 |
$4K |
| 90723 |
|
404 |
403 |
$3K |
| 96156 |
|
280 |
265 |
$3K |
| 90680 |
|
345 |
345 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
392 |
$3K |
| 92081 |
|
900 |
899 |
$3K |
| 92551 |
|
929 |
926 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
118 |
118 |
$1K |
| 85014 |
|
1,481 |
1,471 |
$898.83 |
| 90633 |
|
230 |
224 |
$648.12 |
| 90707 |
|
147 |
147 |
$524.23 |
| 90700 |
|
169 |
168 |
$447.75 |
| 90716 |
|
135 |
134 |
$429.75 |
| 81000 |
|
874 |
871 |
$400.35 |
| 99383 |
|
12 |
12 |
$260.86 |
| 99188 |
|
65 |
61 |
$227.90 |
| 99462 |
|
16 |
12 |
$180.75 |
| 90658 |
|
145 |
145 |
$139.47 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$127.08 |
| 90649 |
|
53 |
53 |
$117.00 |
| 90686 |
|
19 |
19 |
$117.00 |
| 90715 |
|
26 |
26 |
$81.00 |
| 90734 |
|
35 |
35 |
$63.00 |
| 90657 |
|
44 |
43 |
$36.00 |
| 96151 |
|
45 |
45 |
$0.00 |