| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
169 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
87 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
66 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
85 |
$5K |
| 92081 |
|
49 |
46 |
$800.00 |
| 88738 |
|
81 |
78 |
$395.20 |
| 92551 |
|
54 |
51 |
$261.36 |
| 81002 |
|
66 |
61 |
$184.32 |
| 90698 |
|
25 |
24 |
$148.22 |