| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
706 |
594 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
247 |
177 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
295 |
205 |
$738.92 |
| 90686 |
|
359 |
301 |
$604.49 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
17 |
$462.57 |
| 99188 |
|
83 |
48 |
$252.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
49 |
$235.00 |
| 92551 |
|
125 |
106 |
$211.10 |
| 99173 |
|
440 |
334 |
$126.74 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
27 |
$121.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$120.00 |
| 90723 |
|
18 |
12 |
$0.00 |
| 90648 |
|
72 |
40 |
$0.00 |
| 90670 |
|
84 |
52 |
$0.00 |
| 86703 |
|
19 |
16 |
$0.00 |