| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
578 |
555 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
287 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
205 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
166 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
156 |
156 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
215 |
$10K |
| 92551 |
|
542 |
541 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
64 |
$7K |
| 90686 |
|
270 |
270 |
$6K |
| 99173 |
|
559 |
558 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
392 |
390 |
$4K |
| W7010 |
|
126 |
126 |
$3K |
| 90688 |
|
66 |
66 |
$2K |
| 2015F |
|
73 |
72 |
$1K |
| 96127 |
|
220 |
219 |
$1K |
| 90698 |
|
55 |
55 |
$1K |
| 90670 |
|
54 |
54 |
$1K |
| 90633 |
|
27 |
27 |
$605.28 |
| 90734 |
|
26 |
26 |
$530.45 |
| 90651 |
|
19 |
19 |
$354.66 |
| 99051 |
|
30 |
30 |
$312.44 |
| 90710 |
|
13 |
13 |
$269.65 |