| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,012 |
1,401 |
$61K |
| 96156 |
|
551 |
543 |
$24K |
| G9920 |
Screening performed and negative |
322 |
313 |
$9K |
| 96151 |
|
342 |
339 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
80 |
$7K |
| 90686 |
|
305 |
302 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
12 |
$1K |
| 85018 |
|
412 |
403 |
$890.51 |
| 81000 |
|
282 |
269 |
$764.13 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$735.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$690.14 |
| 97803 |
|
12 |
12 |
$304.44 |
| 96150 |
|
12 |
12 |
$232.05 |
| 90674 |
|
19 |
19 |
$171.00 |
| 90698 |
|
12 |
12 |
$108.00 |
| 90670 |
|
12 |
12 |
$108.00 |