| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,807 |
2,566 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,163 |
1,120 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
410 |
409 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
325 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
150 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
390 |
385 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
82 |
$7K |
| 99499 |
|
89 |
88 |
$2K |
| 90688 |
|
107 |
107 |
$1K |
| 99429 |
|
44 |
43 |
$965.30 |
| 90713 |
|
13 |
13 |
$255.97 |
| 90670 |
|
12 |
12 |
$195.24 |
| 90700 |
|
26 |
26 |
$154.96 |
| 99072 |
|
475 |
435 |
$0.00 |