| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,900 |
5,360 |
$398K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,745 |
2,529 |
$337K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,995 |
1,955 |
$214K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,695 |
1,660 |
$202K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,192 |
1,143 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
402 |
349 |
$39K |
| 90658 |
|
1,368 |
1,324 |
$30K |
| 99205 |
Prolong outpt/office vis |
141 |
139 |
$20K |
| 90670 |
|
225 |
215 |
$20K |
| 90651 |
|
577 |
551 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
249 |
$10K |
| 90621 |
|
237 |
229 |
$5K |
| 90734 |
|
210 |
203 |
$5K |
| 90686 |
|
187 |
187 |
$4K |
| 90619 |
|
175 |
171 |
$4K |
| 90716 |
|
129 |
122 |
$4K |
| 90707 |
|
141 |
137 |
$3K |
| 90655 |
|
155 |
145 |
$3K |
| 90698 |
|
135 |
129 |
$3K |
| 90633 |
|
109 |
100 |
$2K |
| 90715 |
|
92 |
90 |
$2K |
| 90680 |
|
53 |
51 |
$1K |
| 90744 |
|
26 |
26 |
$612.26 |
| 90700 |
|
26 |
26 |
$605.28 |
| 91320 |
|
13 |
13 |
$402.96 |
| 90685 |
|
14 |
14 |
$305.34 |
| 90713 |
|
12 |
12 |
$279.36 |