| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,016 |
847 |
$63K |
| 99205 |
Prolong outpt/office vis |
335 |
276 |
$44K |
| 99215 |
Prolong outpt/office vis |
367 |
324 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
452 |
349 |
$19K |
| 90688 |
|
142 |
99 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
41 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
31 |
$1K |
| 90672 |
|
43 |
37 |
$633.28 |