| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
19 |
19 |
$314.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,362 |
1,203 |
$303.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
201 |
195 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
147 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |