| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,995 |
4,529 |
$333K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,895 |
1,731 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
751 |
746 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
571 |
569 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
290 |
286 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
475 |
458 |
$19K |
| 90688 |
|
1,366 |
1,338 |
$19K |
| 90651 |
|
201 |
198 |
$3K |
| 99443 |
|
28 |
27 |
$2K |
| 90734 |
|
112 |
111 |
$1K |
| 90686 |
|
136 |
136 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$1K |
| 90715 |
|
40 |
40 |
$645.50 |
| 90685 |
|
54 |
53 |
$548.38 |
| 90670 |
|
14 |
14 |
$227.78 |
| 90698 |
|
12 |
12 |
$195.24 |
| 90633 |
|
14 |
14 |
$195.00 |