| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,459 |
3,097 |
$32K |
| 90686 |
|
383 |
382 |
$889.19 |
| 90688 |
|
19 |
18 |
$289.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
165 |
$116.02 |
| 90670 |
|
26 |
26 |
$108.00 |
| 92552 |
|
309 |
308 |
$16.52 |
| 99173 |
|
183 |
183 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90674 |
|
36 |
36 |
$0.00 |