| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
970 |
844 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
732 |
642 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
662 |
558 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
340 |
298 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
289 |
264 |
$22K |
| 96160 |
|
1,176 |
1,029 |
$17K |
| 96127 |
|
1,048 |
942 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
594 |
543 |
$14K |
| 90686 |
|
681 |
595 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
117 |
107 |
$10K |
| 90723 |
|
464 |
387 |
$7K |
| 90670 |
|
491 |
396 |
$7K |
| 90647 |
|
394 |
341 |
$6K |
| 90680 |
|
252 |
205 |
$4K |
| 99384 |
|
31 |
24 |
$3K |
| 90633 |
|
192 |
167 |
$3K |
| 90677 |
|
139 |
127 |
$2K |
| 99383 |
|
18 |
18 |
$2K |
| 90656 |
|
85 |
84 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 90681 |
|
50 |
48 |
$846.06 |
| 90707 |
|
38 |
31 |
$645.54 |
| 90381 |
|
13 |
12 |
$219.87 |
| 90700 |
|
13 |
12 |
$219.54 |
| 90734 |
|
33 |
27 |
$214.58 |
| 90380 |
|
12 |
12 |
$202.83 |
| 91321 |
|
12 |
12 |
$201.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$139.14 |
| 90696 |
|
12 |
12 |
$77.71 |