| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
912 |
867 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
747 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
495 |
457 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
442 |
436 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
118 |
$5K |
| 90723 |
|
151 |
148 |
$4K |
| 90686 |
|
419 |
415 |
$2K |
| 90670 |
|
309 |
306 |
$2K |
| 90647 |
|
137 |
135 |
$718.23 |
| 90680 |
|
85 |
82 |
$438.70 |
| 90633 |
|
69 |
69 |
$369.15 |