| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
190 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
148 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
91 |
$7K |
| 90670 |
|
104 |
101 |
$1K |
| 90698 |
|
81 |
78 |
$914.25 |
| 90680 |
|
62 |
60 |
$705.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
41 |
$412.81 |
| 90686 |
|
18 |
18 |
$218.22 |
| 99174 |
|
30 |
29 |
$215.08 |
| 83655 |
|
13 |
13 |
$213.21 |
| 96161 |
|
44 |
43 |
$183.41 |
| 90633 |
|
14 |
13 |
$163.50 |
| 90744 |
|
14 |
14 |
$159.50 |
| 92551 |
|
16 |
13 |
$134.75 |
| 96127 |
|
15 |
15 |
$83.34 |
| 85018 |
|
15 |
15 |
$48.04 |
| 36416 |
|
16 |
16 |
$14.40 |