| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,247 |
1,059 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
286 |
286 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
216 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
219 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
146 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 90710 |
|
34 |
34 |
$758.52 |
| 90651 |
|
99 |
99 |
$553.80 |
| 90686 |
|
95 |
95 |
$531.96 |
| 90715 |
|
29 |
29 |
$492.67 |
| 90734 |
|
71 |
71 |
$398.32 |
| 90698 |
|
12 |
12 |
$324.76 |
| 90633 |
|
55 |
55 |
$306.80 |
| 90670 |
|
55 |
55 |
$304.20 |
| 90648 |
|
51 |
51 |
$284.96 |
| 90744 |
|
33 |
33 |
$183.56 |
| 90681 |
|
12 |
12 |
$65.52 |