| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,006 |
1,725 |
$169K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
139 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
122 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
116 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
145 |
$8K |
| 90686 |
|
268 |
245 |
$6K |
| 96127 |
|
197 |
174 |
$1K |
| 90661 |
|
22 |
21 |
$443.12 |
| 90656 |
|
17 |
17 |
$372.48 |