| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,556 |
2,181 |
$183K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
858 |
743 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
69 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
14 |
$2K |
| 90686 |
|
56 |
45 |
$1K |
| 90656 |
|
28 |
13 |
$580.32 |
| 90715 |
|
17 |
15 |
$561.23 |