| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
790 |
736 |
$5K |
| 90670 |
|
367 |
342 |
$3K |
| 90648 |
|
351 |
327 |
$2K |
| 90723 |
|
257 |
241 |
$2K |
| 90680 |
|
219 |
203 |
$2K |
| 90633 |
|
206 |
182 |
$1K |
| 90651 |
|
109 |
101 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
143 |
$911.75 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$733.10 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$716.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$704.40 |
| 90710 |
|
47 |
39 |
$704.00 |
| 90734 |
|
67 |
65 |
$510.50 |
| 90716 |
|
55 |
49 |
$485.48 |
| 90707 |
|
56 |
50 |
$441.48 |
| 90700 |
|
64 |
54 |
$439.71 |
| 90696 |
|
47 |
39 |
$372.08 |
| 99173 |
|
159 |
159 |
$293.73 |
| 90688 |
|
51 |
35 |
$248.84 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$246.64 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$171.96 |
| 90687 |
|
18 |
18 |
$126.00 |
| 90715 |
|
13 |
13 |
$101.50 |