| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0071A |
|
419 |
415 |
$17K |
| 0072A |
|
292 |
292 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
92 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
54 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
89 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
48 |
$3K |
| 0011A |
|
36 |
36 |
$1K |
| 90670 |
|
38 |
33 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$922.08 |
| 0012A |
|
21 |
20 |
$800.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$323.45 |
| 90647 |
|
16 |
16 |
$102.40 |
| 90723 |
|
15 |
15 |
$96.00 |
| 81003 |
|
31 |
31 |
$67.58 |