| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
162 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
102 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
148 |
$5K |
| 92551 |
|
319 |
319 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
44 |
$2K |
| 90658 |
|
122 |
122 |
$1K |
| 81000 |
|
325 |
325 |
$823.65 |
| 90649 |
|
72 |
72 |
$660.00 |
| 90670 |
|
72 |
72 |
$639.00 |
| 85018 |
|
273 |
273 |
$557.60 |
| 90633 |
|
42 |
42 |
$384.00 |
| 90698 |
|
34 |
34 |
$306.00 |
| 90680 |
|
30 |
30 |
$270.00 |
| 90734 |
|
29 |
29 |
$261.00 |
| 86580 |
|
43 |
43 |
$139.86 |
| 90715 |
|
15 |
15 |
$135.00 |
| 90744 |
|
14 |
14 |
$126.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 92081 |
|
46 |
46 |
$0.00 |