| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
234 |
234 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
343 |
343 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
213 |
$9K |
| 90686 |
|
370 |
368 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
75 |
$2K |
| 90688 |
|
160 |
160 |
$2K |
| 90670 |
|
164 |
164 |
$1K |
| 90649 |
|
90 |
89 |
$1K |
| 90654 |
|
54 |
49 |
$785.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$608.53 |
| 86580 |
|
118 |
118 |
$347.80 |
| 90734 |
|
39 |
39 |
$337.28 |
| 90620 |
|
12 |
12 |
$280.52 |
| 90698 |
|
28 |
28 |
$208.32 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
159 |
$139.32 |
| 90680 |
|
13 |
13 |
$109.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,589 |
2,373 |
$69.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
260 |
$42.55 |