| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,570 |
2,755 |
$167K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
116 |
$9K |
| 92551 |
|
984 |
839 |
$8K |
| 90686 |
|
824 |
698 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
145 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
50 |
$4K |
| 81002 |
|
1,110 |
947 |
$3K |
| 99173 |
|
946 |
806 |
$2K |
| 85013 |
|
313 |
257 |
$670.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
72 |
$562.65 |
| 99000 |
|
276 |
217 |
$244.98 |
| 36416 |
|
337 |
281 |
$202.47 |
| 96127 |
|
28 |
25 |
$123.29 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$85.05 |