| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
2,547 |
2,536 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
533 |
530 |
$37K |
| 96156 |
|
1,377 |
1,360 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
268 |
267 |
$19K |
| 96151 |
|
767 |
759 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
206 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,306 |
4,977 |
$4K |
| 0072A |
|
43 |
43 |
$2K |
| 0071A |
|
41 |
41 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$1K |
| 0004A |
|
25 |
25 |
$1K |
| 90651 |
|
88 |
88 |
$783.00 |
| 96150 |
|
14 |
14 |
$207.90 |
| 90734 |
|
31 |
30 |
$171.00 |
| 90621 |
|
14 |
14 |
$126.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
55 |
$0.00 |
| 97802 |
|
44 |
44 |
$0.00 |