| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,523 |
4,773 |
$260K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,256 |
1,976 |
$167K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
380 |
306 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
192 |
171 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
110 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
94 |
$10K |
| 90686 |
|
313 |
278 |
$3K |
| 90688 |
|
152 |
117 |
$2K |
| 0002A |
|
44 |
44 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
69 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 99493 |
|
14 |
14 |
$1K |
| 0001A |
|
18 |
18 |
$775.40 |
| 90656 |
|
36 |
22 |
$752.62 |
| 90756 |
|
22 |
21 |
$574.43 |
| 90670 |
|
43 |
40 |
$523.67 |
| 96127 |
|
31 |
28 |
$459.90 |
| 99494 |
|
12 |
12 |
$441.63 |
| 90661 |
|
17 |
17 |
$350.03 |
| 90647 |
|
43 |
41 |
$294.34 |
| 90734 |
|
15 |
12 |
$105.00 |
| 90723 |
|
14 |
13 |
$90.89 |
| 90680 |
|
13 |
12 |
$84.49 |
| 81003 |
|
13 |
12 |
$27.65 |
| 1159F |
|
209 |
195 |
$0.00 |
| 3078F |
|
193 |
180 |
$0.00 |
| 1160F |
|
305 |
278 |
$0.00 |
| 3074F |
|
207 |
192 |
$0.00 |
| 1036F |
|
109 |
100 |
$0.00 |
| 3008F |
|
252 |
235 |
$0.00 |