| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
662 |
648 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
546 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
106 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
61 |
$4K |
| 90723 |
|
119 |
113 |
$3K |
| 90686 |
|
222 |
218 |
$1K |
| 90670 |
|
159 |
153 |
$816.85 |
| 90680 |
|
99 |
93 |
$497.11 |
| 92551 |
|
16 |
16 |
$489.84 |
| 90647 |
|
80 |
80 |
$425.95 |