| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,417 |
1,388 |
$271K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,328 |
1,301 |
$259K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,152 |
1,091 |
$212K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,869 |
1,737 |
$201K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,148 |
1,030 |
$143K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,613 |
1,511 |
$136K |
| 92551 |
|
6,094 |
5,943 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
615 |
555 |
$113K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
225 |
220 |
$50K |
| 99173 |
|
1,332 |
1,283 |
$35K |
| 99381 |
|
35 |
35 |
$9K |
| 99382 |
|
47 |
45 |
$8K |
| 99383 |
|
34 |
34 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
94 |
94 |
$4K |
| 99384 |
|
13 |
13 |
$3K |
| 85027 |
|
56 |
56 |
$2K |
| 83655 |
|
44 |
43 |
$2K |
| 81003 |
|
101 |
101 |
$1K |
| 85018 |
|
86 |
85 |
$1K |
| 90670 |
|
272 |
268 |
$1K |
| 90651 |
|
51 |
47 |
$607.67 |
| 85014 |
|
35 |
35 |
$596.05 |
| 82947 |
|
29 |
29 |
$507.79 |
| 81025 |
|
17 |
17 |
$433.41 |
| 90734 |
|
18 |
18 |
$137.63 |
| 90698 |
|
140 |
138 |
$100.33 |
| 90686 |
|
83 |
79 |
$72.72 |
| 90744 |
|
24 |
24 |
$0.24 |
| 90681 |
|
13 |
13 |
$0.13 |
| 90633 |
|
13 |
13 |
$0.13 |
| 90715 |
|
12 |
12 |
$0.12 |