| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,530 |
13,267 |
$463K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,943 |
5,527 |
$274K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,029 |
1,922 |
$50K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,172 |
1,161 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
139 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
77 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
89 |
$5K |
| 90734 |
|
26 |
25 |
$121.00 |
| 90686 |
|
13 |
12 |
$120.00 |
| 90651 |
|
13 |
13 |
$0.00 |