| Code | Description | Claims | Beneficiaries | Total Paid |
| 99173 |
|
45 |
45 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
52 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$0.00 |
| 92551 |
|
61 |
61 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
48 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
25 |
$0.00 |
| 85018 |
|
17 |
17 |
$0.00 |