| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
648 |
629 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
580 |
567 |
$43K |
| 92551 |
|
1,148 |
1,125 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
454 |
448 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
368 |
360 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
624 |
614 |
$30K |
| 90698 |
|
418 |
415 |
$11K |
| 90670 |
|
480 |
475 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
54 |
$5K |
| 90686 |
|
298 |
297 |
$4K |
| 90734 |
|
103 |
103 |
$2K |
| 90633 |
|
107 |
106 |
$2K |
| 90744 |
|
161 |
161 |
$1K |
| 90681 |
|
131 |
129 |
$1K |
| 99173 |
|
203 |
199 |
$769.64 |
| 90651 |
|
114 |
114 |
$729.30 |
| 90715 |
|
30 |
30 |
$611.20 |
| 90620 |
|
12 |
12 |
$82.60 |