| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99429 |
|
246 |
244 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
58 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
35 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
202 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
32 |
$810.81 |
| 90686 |
|
54 |
53 |
$584.28 |
| 92551 |
|
78 |
78 |
$435.77 |
| 85018 |
|
123 |
122 |
$127.68 |
| 81000 |
|
78 |
78 |
$92.94 |
| 86580 |
|
13 |
13 |
$17.80 |