| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
360 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
368 |
349 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
324 |
304 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
231 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
53 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$3K |
| 90686 |
|
238 |
226 |
$3K |
| 90670 |
|
170 |
163 |
$2K |
| 90698 |
|
142 |
134 |
$1K |
| 90648 |
|
26 |
25 |
$434.46 |
| 90680 |
|
26 |
26 |
$166.40 |
| 90633 |
|
17 |
17 |
$140.83 |