| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,865 |
3,323 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
209 |
201 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
13 |
$2K |
| 0001A |
|
44 |
32 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$1K |
| 0002A |
|
20 |
20 |
$800.00 |
| 90688 |
|
51 |
42 |
$637.02 |
| 90686 |
|
41 |
31 |
$456.62 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
18 |
14 |
$214.81 |
| 99173 |
|
13 |
13 |
$98.33 |
| 81002 |
|
20 |
18 |
$50.70 |
| 85018 |
|
15 |
15 |
$35.40 |
| 1160F |
|
1,662 |
1,443 |
$0.89 |
| 3074F |
|
1,024 |
936 |
$0.72 |
| 3078F |
|
719 |
652 |
$0.60 |
| 1159F |
|
1,428 |
1,225 |
$0.00 |
| 3725F |
|
36 |
33 |
$0.00 |
| 1126F |
|
653 |
593 |
$0.00 |
| 1036F |
|
1,105 |
948 |
$0.00 |
| 3079F |
|
220 |
207 |
$0.00 |
| 3008F |
|
1,354 |
1,223 |
$0.00 |
| 1034F |
|
36 |
28 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |