| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
474 |
417 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
425 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
247 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
210 |
206 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
181 |
173 |
$15K |
| 90686 |
|
386 |
372 |
$3K |
| 90723 |
|
55 |
55 |
$1K |
| 90670 |
|
141 |
140 |
$1K |
| 92558 |
|
43 |
43 |
$396.80 |
| 90647 |
|
41 |
40 |
$293.40 |
| 85018 |
|
16 |
13 |
$39.36 |