| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
369 |
344 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
500 |
477 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260 |
252 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
214 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
143 |
$12K |
| 90723 |
|
142 |
139 |
$3K |
| 90686 |
|
312 |
310 |
$2K |
| 90670 |
|
270 |
266 |
$2K |
| 90647 |
|
118 |
117 |
$863.57 |
| 90680 |
|
95 |
93 |
$663.33 |
| 90633 |
|
41 |
40 |
$292.04 |