| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,305 |
1,240 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
903 |
860 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
684 |
643 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
352 |
349 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
190 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
163 |
$20K |
| 85018 |
|
196 |
190 |
$1K |
| 90686 |
|
242 |
239 |
$1K |
| 90723 |
|
12 |
12 |
$320.76 |
| 90670 |
|
25 |
25 |
$133.75 |
| 90680 |
|
24 |
24 |
$128.40 |
| 90672 |
|
18 |
18 |
$96.30 |