| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
206 |
204 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
208 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
122 |
120 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
114 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
63 |
$5K |
| 90670 |
|
71 |
71 |
$973.71 |
| 90698 |
|
60 |
57 |
$940.46 |
| 90686 |
|
94 |
92 |
$770.47 |
| 90648 |
|
12 |
12 |
$200.52 |
| 90680 |
|
15 |
15 |
$178.89 |
| 90633 |
|
15 |
15 |
$96.00 |