| 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 |
1,245 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
377 |
335 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
323 |
292 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
322 |
296 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
125 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
101 |
$8K |
| 90686 |
|
346 |
313 |
$3K |
| 90670 |
|
220 |
211 |
$2K |
| 90698 |
|
212 |
188 |
$2K |
| 90651 |
|
65 |
62 |
$1K |
| 90734 |
|
76 |
75 |
$945.60 |
| 90680 |
|
98 |
86 |
$845.39 |
| 90710 |
|
29 |
27 |
$595.09 |
| 90715 |
|
31 |
30 |
$258.99 |
| 90633 |
|
17 |
16 |
$158.30 |
| 90744 |
|
12 |
12 |
$76.80 |