| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
321 |
306 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
145 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
147 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
29 |
$2K |
| 90686 |
|
77 |
77 |
$885.46 |
| 90670 |
|
31 |
31 |
$817.25 |
| 90648 |
|
42 |
42 |
$532.96 |
| 83655 |
|
31 |
29 |
$440.07 |
| 90633 |
|
17 |
16 |
$181.50 |
| 85018 |
|
43 |
42 |
$117.04 |
| 36416 |
|
45 |
43 |
$15.40 |