| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,689 |
4,420 |
$269K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
732 |
730 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
510 |
$39K |
| 92551 |
|
1,655 |
1,635 |
$25K |
| 99173 |
|
1,765 |
1,756 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
88 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
162 |
161 |
$3K |
| 85018 |
|
883 |
878 |
$2K |
| 82962 |
|
735 |
728 |
$1K |