| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
892 |
746 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
335 |
300 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
264 |
237 |
$23K |
| 92551 |
|
769 |
769 |
$8K |
| 99381 |
|
72 |
65 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
50 |
$5K |
| 90648 |
|
545 |
534 |
$5K |
| 90670 |
|
506 |
505 |
$5K |
| 90723 |
|
381 |
379 |
$3K |
| 90680 |
|
344 |
341 |
$3K |
| 99442 |
|
31 |
31 |
$930.00 |
| 90686 |
|
100 |
98 |
$902.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$693.37 |
| 90685 |
|
14 |
13 |
$159.93 |
| 90710 |
|
13 |
13 |
$117.00 |
| 90633 |
|
12 |
12 |
$108.00 |