| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,365 |
823 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,077 |
732 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
157 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
84 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
37 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
28 |
$312.63 |
| 90686 |
|
89 |
65 |
$201.20 |
| 81002 |
|
580 |
405 |
$190.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
40 |
$110.46 |
| 92567 |
|
60 |
39 |
$85.66 |
| 90685 |
|
31 |
27 |
$78.61 |
| 90688 |
|
34 |
30 |
$29.80 |
| 90670 |
|
16 |
12 |
$29.80 |
| 90648 |
|
16 |
12 |
$29.80 |
| 90707 |
|
16 |
12 |
$17.88 |
| 94760 |
|
52 |
27 |
$0.00 |