| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
451 |
$5K |
| 90686 |
|
113 |
112 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
93 |
$1K |
| 90670 |
|
40 |
40 |
$878.40 |
| 96127 |
|
72 |
71 |
$568.80 |
| 81002 |
|
90 |
88 |
$320.87 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$240.00 |
| 99173 |
|
66 |
66 |
$234.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$191.72 |
| 96160 |
|
42 |
42 |
$167.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |