| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,456 |
1,329 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
574 |
542 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
382 |
370 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
362 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
161 |
$15K |
| 92551 |
|
372 |
368 |
$15K |
| 90698 |
|
227 |
224 |
$8K |
| 90686 |
|
596 |
579 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 90670 |
|
282 |
279 |
$2K |
| 90680 |
|
113 |
113 |
$794.00 |
| 99173 |
|
17 |
17 |
$482.40 |
| 90710 |
|
16 |
16 |
$455.98 |
| 90633 |
|
64 |
64 |
$452.28 |
| 90696 |
|
15 |
15 |
$398.98 |
| 90744 |
|
34 |
34 |
$228.89 |
| 99188 |
|
13 |
13 |
$221.00 |
| 99177 |
|
17 |
17 |
$220.85 |
| 90651 |
|
30 |
30 |
$213.15 |
| 90734 |
|
27 |
27 |
$191.09 |