| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
933 |
821 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
126 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
52 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$428.76 |
| 90686 |
|
36 |
36 |
$227.07 |
| 99173 |
|
158 |
158 |
$225.77 |
| 90649 |
|
77 |
77 |
$168.92 |
| 90734 |
|
28 |
28 |
$164.80 |
| 90707 |
|
13 |
13 |
$53.56 |
| 81002 |
|
192 |
189 |
$4.42 |
| 90648 |
|
26 |
26 |
$4.12 |
| 86580 |
|
26 |
26 |
$3.46 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
71 |
$0.00 |
| 88738 |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 92552 |
|
24 |
24 |
$0.00 |