| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,992 |
6,830 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,791 |
1,580 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
600 |
572 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
640 |
605 |
$49K |
| 93000 |
|
411 |
393 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
94 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
41 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
292 |
235 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
110 |
$3K |
| 81002 |
|
593 |
563 |
$1K |
| 99173 |
|
197 |
196 |
$1K |
| 90734 |
|
92 |
70 |
$1K |
| 90649 |
|
67 |
66 |
$1K |
| 90686 |
|
66 |
57 |
$631.73 |
| 90715 |
|
33 |
16 |
$501.63 |
| 90670 |
|
15 |
12 |
$96.00 |
| 90656 |
|
12 |
12 |
$90.17 |