| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
612 |
541 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
292 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
68 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
102 |
$5K |
| 90670 |
|
358 |
325 |
$4K |
| 90686 |
|
425 |
384 |
$3K |
| 90698 |
|
180 |
160 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
17 |
$1K |
| 90680 |
|
62 |
53 |
$632.67 |
| 0072A |
|
12 |
12 |
$505.68 |
| 90633 |
|
49 |
37 |
$461.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
15 |
$201.84 |
| 90685 |
|
17 |
14 |
$108.80 |