| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
56 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
48 |
$3K |
| 96127 |
|
183 |
158 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
29 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
30 |
$2K |
| 96160 |
|
129 |
117 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
21 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
67 |
$2K |
| 90656 |
|
92 |
89 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| 90677 |
|
20 |
18 |
$336.84 |
| 90651 |
|
17 |
15 |
$287.70 |
| 90647 |
|
17 |
15 |
$286.05 |
| 90734 |
|
14 |
13 |
$236.58 |