| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,380 |
1,116 |
$35K |
| 3074F |
|
130 |
127 |
$2K |
| 3078F |
|
130 |
127 |
$2K |
| 99173 |
|
108 |
108 |
$2K |
| 85018 |
|
115 |
115 |
$2K |
| 81002 |
|
101 |
101 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
50 |
$767.62 |
| 92552 |
|
108 |
108 |
$679.01 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$508.41 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$399.11 |
| 90686 |
|
17 |
17 |
$135.00 |