| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
429 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
243 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
194 |
175 |
$17K |
| 99381 |
|
142 |
137 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
39 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
29 |
$3K |
| 90686 |
|
145 |
140 |
$994.66 |
| 88720 |
|
108 |
97 |
$352.66 |
| 99173 |
|
111 |
94 |
$241.40 |
| 92551 |
|
17 |
14 |
$139.75 |
| 90648 |
|
45 |
45 |
$90.00 |
| 90670 |
|
44 |
44 |
$90.00 |
| G9920 |
Screening performed and negative |
33 |
31 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
35 |
34 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |