| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
809 |
772 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
104 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
90 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
35 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
32 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
60 |
$2K |
| 90686 |
|
82 |
82 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$900.00 |
| 90671 |
|
45 |
45 |
$564.59 |
| 90672 |
|
33 |
33 |
$433.29 |
| 90697 |
|
16 |
16 |
$196.95 |
| 90620 |
|
14 |
14 |
$183.82 |
| 90633 |
|
13 |
13 |
$170.69 |
| 90710 |
|
12 |
12 |
$157.56 |
| 90619 |
|
12 |
12 |
$157.56 |