| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,636 |
3,753 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,046 |
943 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
397 |
390 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
389 |
383 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
160 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
161 |
$10K |
| 90698 |
|
144 |
143 |
$2K |
| 90670 |
|
341 |
335 |
$2K |
| 90686 |
|
307 |
307 |
$2K |
| 90672 |
|
298 |
297 |
$1K |
| 90715 |
|
63 |
61 |
$917.19 |
| 90707 |
|
59 |
59 |
$874.06 |
| 90734 |
|
119 |
116 |
$569.36 |
| 90685 |
|
84 |
84 |
$415.00 |
| 90716 |
|
73 |
73 |
$360.00 |
| 90723 |
|
16 |
16 |
$240.00 |
| 90696 |
|
14 |
14 |
$210.98 |
| 90648 |
|
16 |
16 |
$80.00 |
| 90681 |
|
15 |
12 |
$60.00 |