| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,700 |
4,240 |
$379K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,266 |
2,898 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
863 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
746 |
734 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
810 |
799 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
484 |
483 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
378 |
349 |
$39K |
| 90686 |
|
1,281 |
1,275 |
$29K |
| 99173 |
|
3,005 |
2,957 |
$7K |
| 90656 |
|
196 |
196 |
$5K |
| 90670 |
|
107 |
107 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90651 |
|
29 |
26 |
$605.28 |
| 90647 |
|
27 |
27 |
$605.28 |
| 90734 |
|
26 |
26 |
$605.28 |
| 96127 |
|
94 |
93 |
$428.61 |
| 90723 |
|
12 |
12 |
$279.36 |
| 90633 |
|
12 |
12 |
$279.36 |
| 90620 |
|
13 |
12 |
$232.80 |