| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,820 |
1,572 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
556 |
466 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
424 |
376 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
355 |
318 |
$31K |
| 92587 |
|
1,330 |
1,118 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
161 |
$19K |
| 90658 |
|
458 |
388 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
53 |
$6K |
| 99173 |
|
1,813 |
1,561 |
$4K |
| 90651 |
|
126 |
99 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$1K |
| 90670 |
|
37 |
27 |
$535.44 |
| 90698 |
|
30 |
29 |
$488.88 |
| 90621 |
|
17 |
13 |
$372.48 |
| 90734 |
|
13 |
12 |
$302.64 |
| 90677 |
|
12 |
12 |
$279.36 |
| 96127 |
|
64 |
64 |
$244.92 |
| 90697 |
|
12 |
12 |
$93.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
36 |
$0.00 |
| 99051 |
|
46 |
19 |
$0.00 |