| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,254 |
1,883 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
373 |
274 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
127 |
$6K |
| 90686 |
|
224 |
171 |
$4K |
| 90670 |
|
160 |
108 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$922.08 |
| 90656 |
|
43 |
32 |
$812.25 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$691.70 |
| 0124A |
|
15 |
12 |
$627.00 |
| 90723 |
|
52 |
43 |
$622.32 |
| 90647 |
|
43 |
31 |
$509.28 |
| 90715 |
|
15 |
13 |
$498.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
29 |
$305.14 |