| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
573 |
557 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
617 |
598 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
179 |
169 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
44 |
$3K |
| 90698 |
|
47 |
41 |
$1K |
| 99051 |
|
66 |
66 |
$741.72 |
| 90686 |
|
102 |
102 |
$565.61 |
| 90670 |
|
61 |
55 |
$289.38 |
| 90680 |
|
27 |
25 |
$133.98 |