| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
683 |
620 |
$5K |
| 90686 |
|
118 |
117 |
$3K |
| 99173 |
|
309 |
304 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
97 |
$956.80 |
| 90688 |
|
43 |
43 |
$940.59 |
| 90670 |
|
40 |
40 |
$878.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$840.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$656.00 |
| 96127 |
|
71 |
68 |
$475.20 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
127 |
$449.60 |
| 90685 |
|
14 |
13 |
$285.48 |
| 96160 |
|
51 |
50 |
$217.60 |