| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,979 |
7,128 |
$351K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,133 |
1,985 |
$143K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,996 |
4,403 |
$120K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
673 |
627 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
329 |
259 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
291 |
280 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
139 |
$13K |
| 90674 |
|
99 |
70 |
$3K |
| 90734 |
|
204 |
148 |
$2K |
| 90651 |
|
192 |
151 |
$2K |
| 90715 |
|
148 |
98 |
$2K |
| 90688 |
|
107 |
84 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 90756 |
|
50 |
49 |
$1K |
| 90750 |
|
24 |
22 |
$630.00 |
| 90686 |
|
16 |
14 |
$267.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$154.56 |
| 99442 |
|
14 |
13 |
$14.00 |