| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,322 |
2,524 |
$209K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
326 |
324 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
350 |
332 |
$28K |
| 90670 |
|
284 |
267 |
$3K |
| 90686 |
|
143 |
142 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90647 |
|
114 |
108 |
$1K |
| 90688 |
|
65 |
64 |
$1K |
| 90685 |
|
78 |
77 |
$976.56 |
| 90680 |
|
56 |
53 |
$528.46 |
| 90723 |
|
30 |
27 |
$318.52 |
| 90633 |
|
12 |
12 |
$122.08 |