| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,770 |
1,738 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,274 |
1,261 |
$34K |
| 92552 |
|
2,641 |
2,639 |
$33K |
| 99173 |
|
2,532 |
2,532 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,273 |
1,238 |
$22K |
| 86580 |
|
4,262 |
4,196 |
$13K |
| 85018 |
|
4,632 |
4,553 |
$12K |
| 81000 |
|
3,861 |
3,770 |
$12K |
| 90686 |
|
1,890 |
1,889 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,604 |
1,597 |
$4K |
| 90651 |
|
601 |
598 |
$3K |
| 92551 |
|
1,276 |
1,222 |
$3K |
| 90715 |
|
530 |
530 |
$2K |
| 99462 |
|
68 |
40 |
$2K |
| 90648 |
|
431 |
410 |
$2K |
| 99460 |
|
42 |
42 |
$2K |
| 90670 |
|
362 |
344 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
183 |
183 |
$2K |
| 3074F |
|
1,878 |
1,877 |
$2K |
| 3008F |
|
1,919 |
1,918 |
$2K |
| 90734 |
|
323 |
323 |
$1K |
| 3078F |
|
1,882 |
1,881 |
$1K |
| 90716 |
|
294 |
283 |
$1K |
| 90658 |
|
221 |
182 |
$1K |
| 90633 |
|
214 |
203 |
$1K |
| 90707 |
|
297 |
292 |
$1K |
| 90700 |
|
272 |
258 |
$1K |
| 90685 |
|
131 |
103 |
$974.72 |
| 90672 |
|
103 |
103 |
$715.76 |
| 90723 |
|
115 |
111 |
$566.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,588 |
3,343 |
$504.27 |
| 90620 |
|
69 |
69 |
$367.44 |
| 90671 |
|
42 |
40 |
$278.91 |
| 90680 |
|
38 |
38 |
$197.72 |
| 90713 |
|
42 |
42 |
$36.00 |
| 92081 |
|
1,369 |
1,316 |
$32.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$0.00 |