| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
115 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
29 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
25 |
$1K |
| 99188 |
|
57 |
56 |
$708.95 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$690.36 |
| 90686 |
|
188 |
186 |
$615.95 |
| 90670 |
|
12 |
12 |
$39.72 |
| 92551 |
|
87 |
84 |
$0.00 |
| 3008F |
|
89 |
81 |
$0.00 |
| 99173 |
|
43 |
43 |
$0.00 |