| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
845 |
811 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
494 |
482 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
160 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
118 |
$8K |
| 99058 |
|
575 |
550 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
72 |
$5K |
| 90686 |
|
262 |
260 |
$1K |
| 90670 |
|
78 |
78 |
$407.24 |
| 90723 |
|
12 |
12 |
$321.00 |
| 90688 |
|
35 |
35 |
$184.31 |
| 90648 |
|
26 |
26 |
$139.10 |
| 90680 |
|
25 |
25 |
$131.95 |
| 90633 |
|
12 |
12 |
$62.40 |