| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,878 |
1,695 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,684 |
1,473 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
820 |
729 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
558 |
460 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
260 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
168 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
504 |
395 |
$9K |
| 99215 |
Prolong outpt/office vis |
63 |
60 |
$5K |
| 96127 |
|
120 |
110 |
$2K |
| 99173 |
|
62 |
60 |
$454.45 |
| 96161 |
|
33 |
29 |
$42.60 |