| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
692 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
411 |
370 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
49 |
$3K |
| 90686 |
|
91 |
76 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$788.01 |
| 90677 |
|
15 |
15 |
$387.64 |
| 90656 |
|
15 |
14 |
$126.00 |
| 90648 |
|
13 |
13 |
$83.20 |
| 90723 |
|
12 |
12 |
$76.80 |