| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,481 |
2,380 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,362 |
3,015 |
$223K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
680 |
656 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,594 |
1,573 |
$95K |
| G9920 |
Screening performed and negative |
1,038 |
1,036 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
239 |
221 |
$16K |
| 90700 |
|
1,221 |
1,221 |
$11K |
| 90713 |
|
1,145 |
1,145 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
112 |
$10K |
| 90744 |
|
1,063 |
1,063 |
$10K |
| 90670 |
|
1,051 |
1,051 |
$9K |
| 90680 |
|
959 |
954 |
$9K |
| 90648 |
|
748 |
728 |
$7K |
| 90647 |
|
441 |
441 |
$4K |
| 85018 |
|
324 |
317 |
$617.52 |
| 83655 |
|
39 |
39 |
$426.18 |
| 97803 |
|
12 |
12 |
$310.20 |
| 99000 |
|
71 |
71 |
$254.89 |