| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
892 |
697 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
105 |
$5K |
| G9920 |
Screening performed and negative |
134 |
134 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
209 |
145 |
$2K |
| 92551 |
|
179 |
179 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
18 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
25 |
$912.96 |
| 90686 |
|
122 |
122 |
$648.00 |
| 81000 |
|
142 |
142 |
$222.04 |
| 90685 |
|
27 |
26 |
$153.00 |
| 90658 |
|
13 |
13 |
$117.00 |
| 99173 |
|
123 |
123 |
$81.00 |
| 96159 |
|
49 |
49 |
$20.11 |