| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
5,161 |
5,041 |
$212K |
| 0002A |
|
4,718 |
4,638 |
$197K |
| 0001A |
|
4,028 |
3,883 |
$169K |
| 0011A |
|
4,399 |
4,197 |
$144K |
| 0072A |
|
3,163 |
3,120 |
$132K |
| 0071A |
|
3,024 |
2,996 |
$126K |
| 0064A |
|
1,532 |
1,482 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,010 |
849 |
$52K |
| 0004A |
|
785 |
758 |
$33K |
| 0013A |
|
652 |
649 |
$27K |
| 0003A |
|
535 |
513 |
$22K |
| 0124A |
|
387 |
385 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
217 |
183 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
121 |
$11K |
| 0054A |
|
259 |
250 |
$11K |
| 0073A |
|
243 |
236 |
$10K |
| 87428 |
|
117 |
107 |
$7K |
| 0082A |
|
156 |
137 |
$7K |
| 0031A |
|
135 |
133 |
$5K |
| 0074A |
|
115 |
106 |
$5K |
| 0081A |
|
107 |
92 |
$4K |
| 0052A |
|
70 |
63 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
40 |
$3K |
| 90677 |
|
104 |
95 |
$2K |
| 0051A |
|
45 |
42 |
$2K |
| 90697 |
|
96 |
82 |
$2K |
| 0154A |
|
31 |
31 |
$1K |
| 99383 |
|
14 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$1K |
| 83655 |
|
90 |
88 |
$1K |
| 0173A |
|
21 |
21 |
$915.60 |
| 0053A |
|
14 |
14 |
$585.20 |
| 85018 |
|
235 |
229 |
$544.34 |
| 90656 |
|
30 |
29 |
$501.30 |
| 90681 |
|
29 |
26 |
$487.11 |
| 90651 |
|
12 |
12 |
$200.52 |
| 87807 |
|
16 |
12 |
$144.76 |
| 90686 |
|
131 |
92 |
$0.00 |