| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
332 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
70 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
53 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$3K |
| 92551 |
|
223 |
223 |
$935.63 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
32 |
$895.00 |
| 99173 |
|
247 |
247 |
$814.80 |
| 96127 |
|
57 |
57 |
$75.83 |
| 96160 |
|
43 |
43 |
$27.77 |
| 90677 |
|
41 |
40 |
$0.00 |