| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,764 |
10,428 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
118 |
$3K |
| 80061 |
Lipid panel |
294 |
265 |
$456.16 |
| 85014 |
|
354 |
323 |
$0.19 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
352 |
337 |
$0.11 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
540 |
514 |
$0.11 |
| 3008F |
|
977 |
906 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
104 |
$0.00 |
| 96127 |
|
122 |
121 |
$0.00 |
| 99401 |
|
944 |
901 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
26 |
$0.00 |
| 83655 |
|
21 |
21 |
$0.00 |