| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,861 |
2,224 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
678 |
592 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
537 |
476 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
561 |
471 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
150 |
$15K |
| 90658 |
|
392 |
365 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
62 |
$7K |
| 99460 |
|
81 |
74 |
$6K |
| 90670 |
|
235 |
205 |
$5K |
| 90698 |
|
197 |
185 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
53 |
47 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
69 |
$3K |
| 99174 |
|
331 |
299 |
$2K |
| 90680 |
|
71 |
71 |
$2K |
| 99173 |
|
548 |
469 |
$1K |
| 99462 |
|
18 |
14 |
$379.89 |
| 90744 |
|
19 |
14 |
$279.36 |
| 90710 |
|
18 |
12 |
$279.36 |
| 90656 |
|
18 |
14 |
$93.12 |
| 91307 |
|
16 |
14 |
$0.00 |
| 90685 |
|
17 |
16 |
$0.00 |
| 91300 |
|
28 |
26 |
$0.00 |