| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92081 |
|
954 |
948 |
$34K |
| 92552 |
|
962 |
959 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
237 |
$14K |
| 90686 |
|
1,073 |
1,062 |
$11K |
| 0003A |
|
150 |
150 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
119 |
$6K |
| 0002A |
|
127 |
123 |
$5K |
| 0001A |
|
104 |
103 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
68 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,284 |
1,948 |
$3K |
| 90480 |
|
63 |
63 |
$3K |
| 90651 |
|
152 |
150 |
$2K |
| G9920 |
Screening performed and negative |
1,016 |
1,009 |
$896.38 |
| 91321 |
|
29 |
22 |
$720.00 |
| 0082A |
|
14 |
14 |
$560.00 |
| 90713 |
|
44 |
43 |
$433.72 |
| 90715 |
|
14 |
14 |
$138.88 |
| 90700 |
|
13 |
13 |
$126.20 |