| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,233 |
955 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
28 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
14 |
$1K |
| 4274F |
|
24 |
19 |
$0.00 |
| 3725F |
|
63 |
41 |
$0.00 |
| 3078F |
|
42 |
25 |
$0.00 |
| 1036F |
|
135 |
87 |
$0.00 |
| 3351F |
|
93 |
54 |
$0.00 |
| 3074F |
|
43 |
26 |
$0.00 |