| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,325 |
3,096 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,270 |
1,222 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,193 |
1,092 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
241 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
128 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$5K |
| 90686 |
|
161 |
161 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90700 |
|
56 |
55 |
$709.02 |
| 90713 |
|
27 |
27 |
$341.38 |
| 90734 |
|
25 |
25 |
$328.25 |
| 90670 |
|
25 |
25 |
$301.99 |
| 90651 |
|
14 |
14 |
$183.82 |
| 90648 |
|
13 |
13 |
$157.56 |
| 3079F |
|
13 |
13 |
$130.00 |