| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
718 |
683 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
618 |
571 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
318 |
287 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
129 |
$5K |
| 90723 |
|
132 |
132 |
$4K |
| 90686 |
|
475 |
467 |
$2K |
| 90670 |
|
223 |
218 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$1K |
| 90680 |
|
116 |
116 |
$615.25 |
| 90647 |
|
95 |
95 |
$504.38 |