| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0072A |
|
109 |
107 |
$5K |
| 0071A |
|
67 |
67 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
22 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
27 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$934.44 |
| 99173 |
|
59 |
59 |
$439.55 |