| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
252 |
244 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
162 |
162 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
177 |
175 |
$10K |
| 92551 |
|
252 |
242 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
95 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
84 |
84 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
74 |
$4K |
| 99173 |
|
174 |
171 |
$3K |
| 90686 |
|
230 |
208 |
$3K |
| 90670 |
|
163 |
159 |
$2K |
| 90723 |
|
84 |
83 |
$2K |
| 90648 |
|
78 |
78 |
$1K |
| 90647 |
|
43 |
40 |
$443.42 |
| 90680 |
|
15 |
15 |
$219.74 |
| 96161 |
|
46 |
42 |
$138.36 |
| 90651 |
|
13 |
12 |
$79.79 |