| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207 |
188 |
$0.00 |
| 92551 |
|
297 |
287 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
188 |
172 |
$0.00 |
| 99173 |
|
315 |
305 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
169 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
64 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
269 |
232 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
51 |
45 |
$0.00 |
| 99401 |
|
138 |
122 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
49 |
$0.00 |