| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,745 |
2,290 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
953 |
907 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,054 |
981 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
363 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
240 |
$19K |
| 90670 |
|
547 |
482 |
$7K |
| 90647 |
|
452 |
365 |
$6K |
| 90723 |
|
400 |
334 |
$5K |
| 90686 |
|
266 |
242 |
$4K |
| 90680 |
|
282 |
252 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
92 |
$3K |
| 90677 |
|
106 |
101 |
$2K |
| 90633 |
|
121 |
98 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90696 |
|
57 |
29 |
$898.52 |
| 90656 |
|
46 |
46 |
$769.71 |
| 90710 |
|
45 |
17 |
$698.00 |
| 96160 |
|
14 |
14 |
$204.40 |