| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,433 |
2,127 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,490 |
1,300 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
51 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$2K |
| 90686 |
|
23 |
16 |
$248.10 |
| 90688 |
|
17 |
14 |
$231.97 |
| 1159F |
|
54 |
51 |
$0.00 |
| 1160F |
|
126 |
114 |
$0.00 |
| 3078F |
|
32 |
30 |
$0.00 |
| 3008F |
|
80 |
78 |
$0.00 |
| 3074F |
|
32 |
31 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |