| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
403 |
389 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
584 |
548 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
277 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
77 |
$3K |
| 90723 |
|
103 |
103 |
$3K |
| 90686 |
|
425 |
421 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
44 |
$2K |
| 90670 |
|
129 |
129 |
$690.15 |
| 90680 |
|
87 |
87 |
$465.45 |
| 90647 |
|
67 |
67 |
$358.45 |