| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
567 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
346 |
328 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
513 |
500 |
$21K |
| 92551 |
|
561 |
550 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
168 |
168 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
166 |
$12K |
| 90700 |
|
346 |
338 |
$6K |
| 90686 |
|
647 |
626 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$4K |
| 85013 |
|
408 |
402 |
$2K |
| 83655 |
|
134 |
134 |
$2K |
| 90713 |
|
235 |
229 |
$1K |
| 90648 |
|
157 |
151 |
$876.93 |
| 90670 |
|
155 |
149 |
$865.39 |
| 90651 |
|
69 |
67 |
$392.05 |
| 90680 |
|
55 |
53 |
$311.02 |
| 81002 |
|
86 |
85 |
$259.66 |
| 90744 |
|
38 |
36 |
$215.92 |
| 90633 |
|
15 |
15 |
$89.10 |