| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$2K |
| 92551 |
|
122 |
122 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$597.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
58 |
$0.00 |
| 90686 |
|
34 |
34 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90633 |
|
32 |
31 |
$0.00 |
| 92081 |
|
112 |
112 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |