| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
433 |
393 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
251 |
233 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
252 |
234 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
165 |
163 |
$16K |
| 90723 |
|
115 |
114 |
$3K |
| 90670 |
|
176 |
170 |
$3K |
| 99215 |
Prolong outpt/office vis |
18 |
14 |
$2K |
| 90680 |
|
102 |
101 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90685 |
|
74 |
70 |
$1K |
| 90686 |
|
107 |
107 |
$1K |
| 90633 |
|
46 |
46 |
$917.82 |
| 90647 |
|
38 |
38 |
$604.48 |
| 90734 |
|
12 |
12 |
$175.18 |
| 90651 |
|
12 |
12 |
$85.64 |
| 85018 |
|
17 |
17 |
$56.51 |