| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,931 |
3,395 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
874 |
736 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
134 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
63 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
49 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
39 |
$4K |
| 90756 |
|
23 |
19 |
$634.56 |
| 90688 |
|
33 |
25 |
$424.54 |
| 90686 |
|
48 |
45 |
$406.46 |
| 96127 |
|
17 |
16 |
$254.04 |
| 90647 |
|
16 |
13 |
$104.32 |
| 90723 |
|
14 |
12 |
$91.33 |
| 3008F |
|
32 |
29 |
$0.00 |
| 3074F |
|
28 |
26 |
$0.00 |
| 1160F |
|
74 |
69 |
$0.00 |
| 1159F |
|
15 |
14 |
$0.00 |