| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,166 |
1,121 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
219 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
194 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
110 |
$14K |
| 99499 |
|
136 |
136 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
17 |
$2K |
| 99383 |
|
14 |
14 |
$2K |
| 90686 |
|
100 |
100 |
$1K |
| 90672 |
|
82 |
82 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$922.46 |
| 90671 |
|
46 |
46 |
$577.72 |
| 90619 |
|
27 |
27 |
$354.51 |
| 90651 |
|
13 |
13 |
$170.69 |
| 90697 |
|
13 |
13 |
$144.43 |