| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,244 |
3,685 |
$366K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,355 |
1,286 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
941 |
877 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
682 |
642 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
648 |
596 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
139 |
126 |
$9K |
| 99215 |
Prolong outpt/office vis |
84 |
79 |
$7K |
| 90649 |
|
199 |
193 |
$3K |
| 90734 |
|
96 |
88 |
$2K |
| 90716 |
|
48 |
38 |
$656.00 |
| 90670 |
|
88 |
83 |
$648.00 |
| 90707 |
|
49 |
40 |
$532.04 |
| 90700 |
|
57 |
55 |
$508.18 |
| 90620 |
|
16 |
16 |
$424.00 |
| 90715 |
|
38 |
31 |
$357.04 |
| 90658 |
|
45 |
35 |
$303.28 |
| 90647 |
|
27 |
27 |
$216.00 |
| 90713 |
|
13 |
13 |
$104.00 |
| 90633 |
|
13 |
12 |
$88.00 |