| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186 |
152 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
28 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$938.61 |
| 96127 |
|
43 |
41 |
$934.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
27 |
$846.45 |
| 90686 |
|
25 |
25 |
$388.36 |
| 90672 |
|
20 |
14 |
$258.32 |
| 99173 |
|
28 |
28 |
$208.60 |
| 1036F |
|
90 |
62 |
$0.00 |
| 1003F |
|
216 |
169 |
$0.00 |
| 4274F |
|
84 |
67 |
$0.00 |