| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
604 |
545 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
175 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
101 |
$1K |
| 90688 |
|
177 |
124 |
$117.20 |
| 90651 |
|
13 |
13 |
$0.00 |
| 99429 |
|
43 |
41 |
$0.00 |
| 96127 |
|
37 |
36 |
$0.00 |
| 0072A |
|
17 |
17 |
$0.00 |
| 99499 |
|
42 |
42 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
15 |
$0.00 |