| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
238 |
232 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
65 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 96160 |
|
289 |
287 |
$987.75 |
| 99173 |
|
139 |
138 |
$749.24 |
| 87428 |
|
12 |
12 |
$245.07 |
| 92551 |
|
38 |
38 |
$48.82 |
| 83655 |
|
43 |
43 |
$39.22 |
| 90686 |
|
12 |
12 |
$0.00 |