| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,981 |
4,035 |
$519K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,688 |
1,285 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
190 |
190 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
146 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
78 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
62 |
$4K |
| 0502F |
|
74 |
45 |
$3K |
| 81003 |
|
1,254 |
491 |
$3K |
| 90686 |
|
242 |
214 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90656 |
|
78 |
72 |
$555.94 |
| 90700 |
|
27 |
27 |
$232.84 |
| 90713 |
|
12 |
12 |
$110.33 |
| 90670 |
|
15 |
15 |
$96.00 |
| 90647 |
|
12 |
12 |
$76.80 |