| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,004 |
923 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
220 |
213 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90686 |
|
152 |
150 |
$1K |
| 90723 |
|
13 |
12 |
$420.54 |
| 90670 |
|
27 |
26 |
$184.46 |
| 90647 |
|
27 |
26 |
$184.46 |
| 90685 |
|
13 |
13 |
$90.10 |