| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,549 |
4,204 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
414 |
414 |
$38K |
| 99381 |
|
232 |
228 |
$27K |
| 92552 |
|
907 |
906 |
$2K |
| 90680 |
|
234 |
233 |
$2K |
| 90670 |
|
227 |
227 |
$2K |
| 90648 |
|
186 |
186 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
121 |
$1K |
| 90677 |
|
103 |
103 |
$675.00 |
| 90647 |
|
75 |
75 |
$639.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
220 |
$569.64 |
| 90723 |
|
66 |
66 |
$558.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$438.60 |
| 90686 |
|
94 |
94 |
$418.81 |
| 90700 |
|
13 |
13 |
$180.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
113 |
$168.30 |
| 99173 |
|
836 |
836 |
$99.96 |
| 90713 |
|
13 |
13 |
$63.00 |
| 96127 |
|
309 |
309 |
$24.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
687 |
687 |
$14.00 |
| 97802 |
|
74 |
74 |
$14.00 |
| H0049 |
Alcohol and/or drug screening |
816 |
816 |
$1.80 |
| 3725F |
|
828 |
828 |
$0.00 |
| 1160F |
|
822 |
822 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
185 |
185 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
145 |
$0.00 |
| 1159F |
|
821 |
821 |
$0.00 |
| 83026 |
|
27 |
27 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 3008F |
|
828 |
828 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
773 |
773 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |