| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,267 |
8,708 |
$573K |
| 99423 |
|
2,867 |
2,090 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
59 |
$5K |
| 92551 |
|
221 |
209 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
31 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$2K |
| 99173 |
|
93 |
87 |
$692.85 |
| 90651 |
|
36 |
34 |
$277.60 |
| 90734 |
|
17 |
15 |
$176.00 |
| 90633 |
|
14 |
12 |
$155.38 |
| 81025 |
|
16 |
15 |
$38.70 |