| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
231 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226 |
176 |
$7K |
| 92552 |
|
58 |
58 |
$1K |
| G9920 |
Screening performed and negative |
140 |
139 |
$1K |
| 90686 |
|
74 |
74 |
$752.50 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$595.65 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$542.53 |
| 81000 |
|
13 |
13 |
$39.15 |
| 99173 |
|
80 |
79 |
$0.00 |