| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,063 |
1,009 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
309 |
308 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
135 |
$12K |
| 99051 |
|
252 |
248 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
82 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$924.00 |
| 90686 |
|
217 |
187 |
$894.00 |
| 90670 |
|
70 |
53 |
$374.00 |
| 90648 |
|
91 |
74 |
$365.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
422 |
416 |
$301.73 |
| 92551 |
|
95 |
95 |
$114.94 |
| 90723 |
|
19 |
13 |
$77.00 |
| 99177 |
|
57 |
57 |
$37.50 |
| 90656 |
|
25 |
25 |
$0.00 |
| 96161 |
|
42 |
39 |
$0.00 |