| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
387 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 92551 |
|
83 |
82 |
$853.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$702.04 |
| 90686 |
|
54 |
54 |
$583.00 |
| 81002 |
|
119 |
114 |
$350.83 |
| 85013 |
|
82 |
82 |
$235.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$228.69 |
| 99173 |
|
85 |
84 |
$212.26 |
| 36416 |
|
94 |
94 |
$101.20 |
| 99000 |
|
67 |
67 |
$3.68 |