| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,313 |
4,951 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
372 |
358 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
363 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
238 |
216 |
$17K |
| 86580 |
|
973 |
903 |
$4K |
| 90686 |
|
74 |
73 |
$498.86 |
| 90633 |
|
33 |
27 |
$342.76 |
| 90743 |
|
33 |
31 |
$342.54 |
| 90649 |
|
33 |
33 |
$254.80 |
| 90658 |
|
24 |
23 |
$204.63 |
| 90715 |
|
24 |
22 |
$140.80 |
| 90716 |
|
13 |
13 |
$83.20 |