| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
810 |
792 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
127 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
203 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
92 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
47 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$2K |
| 99173 |
|
577 |
573 |
$1K |
| 99051 |
|
42 |
42 |
$1K |
| 92551 |
|
514 |
513 |
$418.64 |
| 90686 |
|
121 |
121 |
$330.00 |
| 90670 |
|
28 |
28 |
$286.00 |
| 90647 |
|
13 |
13 |
$132.00 |
| 94760 |
|
31 |
31 |
$72.04 |
| 96161 |
|
38 |
38 |
$11.49 |
| 96127 |
|
56 |
56 |
$0.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
107 |
107 |
$0.00 |
| 96160 |
|
15 |
15 |
$0.00 |