| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,376 |
1,174 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
775 |
673 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
72 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
39 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$1K |
| 90686 |
|
39 |
33 |
$463.65 |
| 3008F |
|
194 |
183 |
$0.00 |
| 1036F |
|
123 |
117 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |
| 3074F |
|
146 |
142 |
$0.00 |
| 3078F |
|
131 |
127 |
$0.00 |
| 1160F |
|
232 |
225 |
$0.00 |
| 1159F |
|
160 |
156 |
$0.00 |