| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,880 |
1,224 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,918 |
1,293 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
242 |
131 |
$15K |
| 92552 |
|
271 |
270 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
53 |
$6K |
| 94760 |
|
310 |
276 |
$1K |
| 90686 |
|
117 |
115 |
$963.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$919.49 |
| 90698 |
|
89 |
88 |
$783.00 |
| 90670 |
|
83 |
82 |
$720.00 |
| G9920 |
Screening performed and negative |
164 |
163 |
$642.64 |
| 81000 |
|
111 |
111 |
$303.03 |
| 90685 |
|
25 |
25 |
$225.00 |
| 85018 |
|
83 |
83 |
$181.77 |
| 90744 |
|
13 |
13 |
$117.00 |
| 90707 |
|
13 |
12 |
$108.00 |
| 90633 |
|
12 |
12 |
$99.00 |
| 99000 |
|
32 |
26 |
$79.86 |
| 99173 |
|
377 |
376 |
$0.00 |