| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92081 |
|
1,492 |
1,486 |
$53K |
| 92552 |
|
1,400 |
1,398 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
404 |
404 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
433 |
431 |
$21K |
| 90686 |
|
1,016 |
1,013 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
210 |
209 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 90621 |
|
120 |
120 |
$1K |
| 92551 |
|
54 |
54 |
$650.31 |
| 90685 |
|
68 |
66 |
$595.20 |
| 90651 |
|
42 |
42 |
$396.80 |
| 90715 |
|
40 |
40 |
$396.80 |
| 90700 |
|
40 |
39 |
$376.96 |
| 86580 |
|
48 |
48 |
$173.90 |
| 90734 |
|
13 |
13 |
$128.96 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,756 |
3,258 |
$0.00 |
| G9920 |
Screening performed and negative |
472 |
472 |
$0.00 |