| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,373 |
3,609 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
488 |
404 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
172 |
159 |
$12K |
| 90686 |
|
525 |
390 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
64 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
38 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
39 |
$3K |
| 90734 |
|
31 |
26 |
$981.46 |
| 90670 |
|
77 |
66 |
$637.84 |
| 90715 |
|
30 |
28 |
$512.66 |
| 90698 |
|
67 |
61 |
$428.00 |
| 90656 |
|
30 |
25 |
$314.80 |