| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,228 |
1,881 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
137 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
148 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$2K |
| 85014 |
|
669 |
664 |
$1K |
| 92081 |
|
584 |
583 |
$986.61 |
| 81005 |
|
434 |
433 |
$862.20 |
| 92551 |
|
571 |
569 |
$773.10 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
184 |
$654.14 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
44 |
$560.94 |
| 90686 |
|
236 |
236 |
$465.97 |
| 90670 |
|
62 |
62 |
$245.66 |
| 90648 |
|
17 |
17 |
$232.60 |
| 97802 |
|
154 |
154 |
$130.10 |
| 96156 |
|
31 |
31 |
$111.00 |
| 90680 |
|
14 |
14 |
$77.63 |
| 3008F |
|
123 |
123 |
$0.00 |
| 90716 |
|
34 |
34 |
$0.00 |
| 86580 |
|
56 |
56 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 4037F |
|
44 |
44 |
$0.00 |
| 90700 |
|
31 |
31 |
$0.00 |
| 90633 |
|
30 |
30 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90707 |
|
33 |
33 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |