| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
704 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
290 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
485 |
428 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
188 |
183 |
$6K |
| 90686 |
|
514 |
512 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
62 |
$2K |
| 90723 |
|
63 |
63 |
$2K |
| 90670 |
|
184 |
178 |
$952.30 |
| 90647 |
|
51 |
51 |
$272.85 |
| 90680 |
|
39 |
39 |
$208.65 |
| 90651 |
|
12 |
12 |
$64.20 |