| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
573 |
489 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242 |
220 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
240 |
207 |
$6K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$766.29 |
| 81025 |
|
59 |
57 |
$461.90 |
| 90658 |
|
30 |
28 |
$116.34 |
| 87210 |
|
18 |
18 |
$100.57 |
| 81002 |
|
15 |
13 |
$43.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$41.12 |