| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,258 |
2,001 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,133 |
1,846 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
61 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
37 |
$3K |
| 90686 |
|
144 |
117 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90656 |
|
62 |
51 |
$1K |
| 87428 |
|
12 |
12 |
$766.26 |
| 90734 |
|
25 |
22 |
$419.59 |
| 90651 |
|
13 |
12 |
$218.23 |