| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,434 |
1,264 |
$7K |
| 92081 |
|
128 |
128 |
$656.69 |
| 86580 |
|
130 |
130 |
$146.25 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$111.06 |
| 90686 |
|
35 |
35 |
$99.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$98.82 |
| 92551 |
|
128 |
128 |
$98.47 |
| 90713 |
|
13 |
12 |
$63.00 |
| 85018 |
|
281 |
281 |
$59.69 |
| 81000 |
|
108 |
108 |
$20.46 |
| 90651 |
|
12 |
12 |
$18.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$0.00 |
| 99173 |
|
42 |
42 |
$0.00 |
| 92552 |
|
133 |
133 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| 90658 |
|
31 |
31 |
$0.00 |
| 92060 |
|
62 |
62 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
155 |
$0.00 |