| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
795 |
755 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
532 |
510 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
747 |
648 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
413 |
399 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
175 |
$7K |
| 90723 |
|
231 |
225 |
$6K |
| 90686 |
|
469 |
463 |
$2K |
| 90670 |
|
424 |
416 |
$2K |
| 90647 |
|
195 |
187 |
$987.96 |
| 90680 |
|
186 |
180 |
$957.65 |
| 90633 |
|
13 |
13 |
$69.55 |