| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
148 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
102 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$390.00 |
| 90648 |
|
55 |
49 |
$250.00 |
| 90670 |
|
55 |
49 |
$250.00 |
| 99173 |
|
33 |
29 |
$123.20 |
| 90686 |
|
28 |
25 |
$120.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
38 |
25 |
$0.00 |
| G9920 |
Screening performed and negative |
26 |
26 |
$0.00 |