| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
263 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
237 |
218 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
284 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
384 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
83 |
$8K |
| 99188 |
|
255 |
235 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
36 |
$3K |
| 99173 |
|
638 |
602 |
$3K |
| 90686 |
|
275 |
235 |
$2K |
| 92552 |
|
196 |
177 |
$1K |
| 90672 |
|
74 |
66 |
$732.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$706.44 |
| 96127 |
|
149 |
129 |
$532.40 |
| 85018 |
|
107 |
100 |
$298.20 |
| 90670 |
|
14 |
12 |
$100.00 |
| 81003 |
|
184 |
154 |
$99.91 |
| 96160 |
|
61 |
57 |
$26.81 |
| 83655 |
|
100 |
81 |
$0.00 |