| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
366 |
346 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
185 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
117 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
13 |
$824.60 |
| 90686 |
|
130 |
126 |
$670.43 |
| 90723 |
|
31 |
26 |
$649.98 |
| 90670 |
|
54 |
48 |
$252.04 |
| 90680 |
|
31 |
26 |
$134.28 |
| 90647 |
|
12 |
12 |
$59.16 |