| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,920 |
19,563 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
892 |
853 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
215 |
181 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
163 |
$14K |
| 92551 |
|
899 |
760 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
161 |
145 |
$13K |
| 86580 |
|
1,825 |
1,561 |
$8K |
| 81002 |
|
2,925 |
2,583 |
$7K |
| 99173 |
|
911 |
802 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
51 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 90734 |
|
13 |
13 |
$551.20 |
| 90686 |
|
49 |
43 |
$457.90 |
| 81025 |
|
81 |
67 |
$234.92 |
| 90716 |
|
16 |
16 |
$102.40 |
| 90700 |
|
15 |
15 |
$96.00 |
| 90707 |
|
14 |
14 |
$89.60 |
| 90713 |
|
13 |
13 |
$83.20 |