| Code | Description | Claims | Beneficiaries | Total Paid |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
532 |
499 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
886 |
820 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
467 |
453 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
436 |
406 |
$26K |
| 92551 |
|
487 |
466 |
$15K |
| 90698 |
|
401 |
393 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
113 |
$8K |
| 90686 |
|
408 |
382 |
$2K |
| 90670 |
|
376 |
369 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
38 |
$1K |
| 90680 |
|
187 |
183 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$901.88 |
| 96161 |
|
186 |
185 |
$526.04 |
| 90744 |
|
40 |
39 |
$231.99 |