| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,362 |
2,998 |
$309K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
386 |
355 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
249 |
239 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
161 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
129 |
$12K |
| 99384 |
|
64 |
59 |
$5K |
| 99383 |
|
38 |
38 |
$4K |
| 99382 |
|
34 |
32 |
$3K |
| 90633 |
|
361 |
339 |
$197.18 |
| 90715 |
|
150 |
139 |
$173.64 |
| 90649 |
|
146 |
131 |
$0.00 |
| 90710 |
|
92 |
89 |
$0.00 |
| 90700 |
|
146 |
141 |
$0.00 |
| 90707 |
|
54 |
51 |
$0.00 |
| 90713 |
|
101 |
94 |
$0.00 |
| 90734 |
|
84 |
78 |
$0.00 |
| 90670 |
|
48 |
44 |
$0.00 |
| 97802 |
|
180 |
169 |
$0.00 |
| 90696 |
|
82 |
81 |
$0.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
78 |
77 |
$0.00 |
| 90647 |
|
46 |
44 |
$0.00 |
| 90716 |
|
69 |
66 |
$0.00 |
| 90688 |
|
31 |
31 |
$0.00 |