| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
876 |
839 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,079 |
1,031 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
514 |
477 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
240 |
237 |
$9K |
| 90723 |
|
219 |
214 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
105 |
$3K |
| 90686 |
|
453 |
447 |
$2K |
| 90670 |
|
342 |
335 |
$2K |
| 90680 |
|
210 |
206 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
30 |
$802.15 |
| 90647 |
|
153 |
148 |
$791.80 |
| 90633 |
|
29 |
27 |
$144.45 |
| 90651 |
|
29 |
25 |
$130.00 |
| 90734 |
|
13 |
13 |
$69.55 |