| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
572 |
526 |
$23K |
| 96156 |
|
361 |
359 |
$18K |
| G9920 |
Screening performed and negative |
279 |
278 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$3K |
| 97802 |
|
98 |
98 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90686 |
|
112 |
111 |
$774.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$686.01 |
| 85018 |
|
251 |
251 |
$433.62 |
| 90656 |
|
37 |
37 |
$279.00 |
| 97803 |
|
13 |
13 |
$261.10 |