| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,581 |
3,986 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
837 |
716 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
512 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
123 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
125 |
98 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
92 |
$9K |
| 90686 |
|
202 |
171 |
$2K |
| 90651 |
|
22 |
13 |
$2K |
| 90670 |
|
75 |
66 |
$1K |
| 90688 |
|
17 |
15 |
$223.23 |
| 81003 |
|
14 |
12 |
$31.04 |
| 1160F |
|
38 |
36 |
$0.00 |
| 3078F |
|
16 |
15 |
$0.00 |
| 3074F |
|
16 |
15 |
$0.00 |
| 3008F |
|
28 |
27 |
$0.00 |