| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,139 |
1,077 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
895 |
817 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
460 |
429 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
197 |
188 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
199 |
192 |
$7K |
| 90723 |
|
179 |
179 |
$5K |
| 90686 |
|
491 |
488 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
69 |
$3K |
| 90670 |
|
341 |
336 |
$2K |
| 90647 |
|
161 |
161 |
$857.46 |
| 90680 |
|
144 |
144 |
$770.40 |
| 90633 |
|
24 |
24 |
$128.40 |
| 90651 |
|
13 |
13 |
$69.55 |