| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,443 |
1,357 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
204 |
204 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
192 |
192 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
123 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
94 |
$8K |
| 92567 |
|
354 |
354 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
45 |
$4K |
| 90670 |
|
134 |
134 |
$2K |
| 90651 |
|
80 |
80 |
$2K |
| 90633 |
|
105 |
105 |
$1K |
| 90698 |
|
67 |
67 |
$912.25 |
| 90734 |
|
37 |
37 |
$758.37 |
| 99173 |
|
360 |
360 |
$709.66 |
| 90710 |
|
30 |
30 |
$502.85 |
| 90680 |
|
27 |
27 |
$389.30 |
| 90744 |
|
30 |
30 |
$356.69 |
| 96161 |
|
82 |
82 |
$322.20 |