| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
238 |
233 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$991.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$603.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$503.50 |
| 92551 |
|
57 |
57 |
$253.21 |
| 99173 |
|
53 |
53 |
$208.00 |
| 94760 |
|
30 |
29 |
$66.64 |
| 96127 |
|
35 |
35 |
$31.30 |
| 90686 |
|
16 |
16 |
$0.00 |
| 96160 |
|
34 |
34 |
$0.00 |