| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,614 |
1,346 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
223 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
65 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
54 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
28 |
28 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
52 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
19 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$1K |
| 90686 |
|
64 |
59 |
$566.24 |
| 90647 |
|
16 |
12 |
$265.88 |
| 90670 |
|
16 |
12 |
$263.40 |