| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
73 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
58 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$2K |
| 92551 |
|
146 |
146 |
$1K |
| 90686 |
|
51 |
51 |
$1K |
| 85018 |
|
187 |
184 |
$328.00 |
| 81005 |
|
155 |
155 |
$232.75 |
| 90734 |
|
13 |
13 |
$128.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
167 |
$12.00 |
| 92081 |
|
101 |
101 |
$2.54 |