| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,029 |
1,867 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,948 |
2,859 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
57 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
33 |
$3K |
| 99384 |
|
17 |
14 |
$2K |
| 90651 |
|
110 |
92 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$711.36 |
| 99173 |
|
95 |
79 |
$697.32 |
| 90734 |
|
104 |
92 |
$641.28 |
| 90715 |
|
71 |
64 |
$435.20 |
| 90686 |
|
22 |
18 |
$233.06 |
| 90696 |
|
15 |
14 |
$96.00 |
| 90710 |
|
15 |
14 |
$96.00 |
| 90633 |
|
14 |
12 |
$89.60 |