| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,943 |
1,687 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
389 |
272 |
$38K |
| 0502F |
|
733 |
453 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
31 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
173 |
154 |
$2K |
| 81003 |
|
1,006 |
605 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 90688 |
|
64 |
46 |
$871.41 |
| 90686 |
|
75 |
65 |
$770.09 |
| 90756 |
|
13 |
12 |
$346.76 |
| 1160F |
|
158 |
143 |
$0.00 |
| 1159F |
|
81 |
71 |
$0.00 |
| 3078F |
|
77 |
59 |
$0.00 |
| 3074F |
|
96 |
74 |
$0.00 |
| 3008F |
|
108 |
94 |
$0.00 |
| 1036F |
|
43 |
28 |
$0.00 |