| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
457 |
$32K |
| 92587 |
|
86 |
85 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
29 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$2K |
| 90670 |
|
16 |
16 |
$948.00 |
| 90698 |
|
12 |
12 |
$567.00 |
| 81002 |
|
81 |
79 |
$364.81 |
| 90685 |
|
14 |
14 |
$108.50 |