| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
848 |
742 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
275 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
152 |
$12K |
| 90649 |
|
56 |
56 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
133 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
87 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$4K |
| 90733 |
|
26 |
26 |
$3K |
| 90670 |
|
82 |
82 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
44 |
$2K |
| 90700 |
|
125 |
125 |
$2K |
| 90713 |
|
109 |
109 |
$1K |
| 90648 |
|
78 |
78 |
$924.75 |
| 90633 |
|
65 |
65 |
$816.99 |
| 90680 |
|
42 |
42 |
$691.93 |
| 90716 |
|
26 |
26 |
$648.91 |
| 90744 |
|
40 |
40 |
$461.45 |
| 90707 |
|
27 |
27 |
$311.30 |
| 90658 |
|
14 |
14 |
$194.32 |