| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
303 |
288 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
425 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
209 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
156 |
$11K |
| 92551 |
|
244 |
233 |
$8K |
| 90698 |
|
142 |
139 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 90686 |
|
248 |
244 |
$1K |
| 90670 |
|
153 |
151 |
$863.86 |
| 90680 |
|
28 |
28 |
$155.28 |
| 96161 |
|
53 |
53 |
$152.57 |
| 90744 |
|
15 |
15 |
$85.86 |