| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
148 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
146 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
93 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
51 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
39 |
$3K |
| 90723 |
|
37 |
36 |
$1K |
| 90670 |
|
97 |
94 |
$591.24 |
| 90707 |
|
25 |
25 |
$473.35 |
| 90651 |
|
54 |
54 |
$337.08 |
| 90686 |
|
42 |
42 |
$275.75 |
| 90715 |
|
14 |
14 |
$263.80 |
| 90648 |
|
37 |
36 |
$229.80 |
| 90716 |
|
27 |
27 |
$165.12 |
| 90633 |
|
24 |
24 |
$151.40 |
| 90734 |
|
20 |
20 |
$122.64 |