| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,317 |
9,928 |
$1.03M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,259 |
1,202 |
$116K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
846 |
777 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
382 |
358 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
264 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
289 |
245 |
$24K |
| 99384 |
|
103 |
103 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
55 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
27 |
$2K |
| 99383 |
|
14 |
14 |
$1K |
| 90710 |
|
84 |
82 |
$101.87 |
| 90715 |
|
103 |
101 |
$100.46 |
| 90700 |
|
76 |
72 |
$97.13 |
| 90696 |
|
57 |
56 |
$0.00 |
| 90716 |
|
44 |
41 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90647 |
|
15 |
12 |
$0.00 |
| 90713 |
|
73 |
69 |
$0.00 |
| 90633 |
|
226 |
214 |
$0.00 |
| 90670 |
|
27 |
24 |
$0.00 |
| 90734 |
|
61 |
52 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90649 |
|
74 |
65 |
$0.00 |