| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,585 |
7,273 |
$67K |
| 92551 |
|
1,385 |
1,384 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
173 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
130 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
31 |
31 |
$985.88 |
| 90686 |
|
321 |
318 |
$486.00 |
| 99173 |
|
1,183 |
1,183 |
$460.60 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
176 |
$270.17 |
| 90656 |
|
16 |
16 |
$144.00 |
| 90672 |
|
36 |
32 |
$81.00 |
| 87430 |
|
25 |
25 |
$16.36 |
| 3074F |
|
12 |
12 |
$0.00 |