| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,177 |
1,052 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
836 |
747 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
627 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
976 |
861 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
343 |
318 |
$26K |
| 96127 |
|
1,142 |
1,012 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
723 |
648 |
$16K |
| 90686 |
|
825 |
656 |
$14K |
| 96160 |
|
930 |
824 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
135 |
$12K |
| 90723 |
|
657 |
555 |
$11K |
| 90647 |
|
640 |
553 |
$11K |
| 90677 |
|
308 |
240 |
$8K |
| 90680 |
|
464 |
386 |
$8K |
| 90670 |
|
466 |
412 |
$7K |
| 90633 |
|
287 |
254 |
$5K |
| 91321 |
|
118 |
79 |
$2K |
| 90656 |
|
112 |
111 |
$2K |
| 90707 |
|
102 |
87 |
$2K |
| 90716 |
|
91 |
76 |
$2K |
| 90681 |
|
70 |
58 |
$1K |
| 90700 |
|
37 |
30 |
$626.85 |
| 91318 |
|
22 |
13 |
$220.20 |
| 90380 |
|
13 |
12 |
$220.20 |
| 90651 |
|
12 |
12 |
$203.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
13 |
$199.60 |