| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
312 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
281 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99051 |
|
13 |
13 |
$308.00 |
| 96160 |
|
18 |
18 |
$0.00 |
| 99177 |
|
41 |
41 |
$0.00 |
| 92551 |
|
47 |
47 |
$0.00 |
| 96127 |
|
18 |
18 |
$0.00 |