| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,725 |
6,141 |
$346K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
953 |
949 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
847 |
844 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
469 |
465 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,147 |
1,061 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
601 |
596 |
$7K |
| 97169 |
|
72 |
72 |
$2K |
| 90461 |
|
378 |
318 |
$2K |
| 97802 |
|
2,199 |
2,191 |
$0.80 |
| 90686 |
|
577 |
575 |
$0.12 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,201 |
2,192 |
$0.00 |
| 90651 |
|
138 |
138 |
$0.00 |
| 90670 |
|
40 |
40 |
$0.00 |
| 90734 |
|
42 |
42 |
$0.00 |
| 90658 |
|
89 |
88 |
$0.00 |