| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,852 |
8,204 |
$415K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,207 |
2,903 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
478 |
432 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
255 |
234 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
54 |
$5K |
| 99173 |
|
257 |
209 |
$2K |
| 93000 |
|
92 |
89 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
15 |
$1K |
| 90734 |
|
31 |
28 |
$198.40 |
| 3725F |
|
15 |
15 |
$0.00 |
| 1159F |
|
15 |
14 |
$0.00 |
| 1160F |
|
61 |
55 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |