| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73 |
70 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
42 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
32 |
$3K |
| 90656 |
|
90 |
86 |
$2K |
| 96127 |
|
70 |
56 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90677 |
|
36 |
32 |
$601.56 |
| 90647 |
|
34 |
31 |
$569.31 |
| 90723 |
|
32 |
28 |
$534.72 |
| 90651 |
|
31 |
26 |
$518.01 |
| 90680 |
|
16 |
13 |
$267.36 |
| 91321 |
|
12 |
12 |
$200.52 |