| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
762 |
717 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
282 |
247 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
253 |
212 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
294 |
276 |
$18K |
| 90734 |
|
449 |
346 |
$6K |
| 90715 |
|
304 |
241 |
$4K |
| 90651 |
|
297 |
236 |
$4K |
| 99383 |
|
41 |
41 |
$4K |
| 90686 |
|
112 |
81 |
$2K |
| 99173 |
|
172 |
165 |
$1K |
| 90710 |
|
73 |
51 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
36 |
$547.44 |
| 90633 |
|
33 |
26 |
$534.83 |
| 90696 |
|
29 |
16 |
$455.54 |
| 90716 |
|
12 |
12 |
$76.80 |