| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
463 |
426 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
135 |
129 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
99 |
$8K |
| 90686 |
|
235 |
222 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
27 |
$3K |
| 92551 |
|
201 |
198 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$698.07 |
| 90670 |
|
26 |
26 |
$512.16 |
| 99173 |
|
198 |
194 |
$437.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
70 |
$423.07 |
| 99177 |
|
57 |
57 |
$283.62 |
| 90648 |
|
12 |
12 |
$279.36 |
| 96127 |
|
25 |
25 |
$113.98 |