| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,442 |
7,106 |
$263K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,213 |
1,162 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,017 |
988 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
226 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
283 |
263 |
$14K |
| 90648 |
|
949 |
934 |
$10K |
| 90670 |
|
952 |
934 |
$10K |
| 90723 |
|
666 |
654 |
$7K |
| 87428 |
|
88 |
83 |
$6K |
| 90686 |
|
345 |
332 |
$4K |
| 87631 |
|
32 |
32 |
$3K |
| 90681 |
|
190 |
187 |
$2K |
| 90716 |
|
169 |
166 |
$2K |
| 90707 |
|
169 |
166 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
27 |
$1K |
| 90633 |
|
132 |
130 |
$1K |
| 0001A |
|
13 |
13 |
$1K |
| 90688 |
|
133 |
132 |
$1K |
| 90677 |
|
75 |
72 |
$906.66 |
| 90696 |
|
13 |
12 |
$105.16 |
| 96127 |
|
17 |
16 |
$62.75 |