| Code | Description | Claims | Beneficiaries | Total Paid |
| 99383 |
|
4,404 |
3,946 |
$327K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,675 |
2,338 |
$143K |
| 99384 |
|
1,070 |
957 |
$89K |
| 99401 |
|
3,409 |
2,545 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
943 |
851 |
$62K |
| 92551 |
|
7,208 |
6,421 |
$47K |
| 96127 |
|
6,420 |
5,558 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
548 |
493 |
$21K |
| 99177 |
|
4,194 |
3,655 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
596 |
553 |
$12K |
| 99173 |
|
2,634 |
2,423 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
101 |
$8K |
| 96160 |
|
1,137 |
957 |
$8K |
| 85018 |
|
3,296 |
2,927 |
$6K |
| 82947 |
|
1,854 |
1,703 |
$5K |
| 82465 |
|
3,537 |
3,127 |
$5K |
| 82962 |
|
1,667 |
1,410 |
$4K |
| 36416 |
|
3,285 |
2,941 |
$4K |
| 99382 |
|
27 |
26 |
$2K |
| 99174 |
|
484 |
415 |
$2K |
| 99402 |
|
29 |
29 |
$1K |
| 92558 |
|
98 |
86 |
$427.94 |
| 83655 |
|
35 |
30 |
$260.64 |
| 80061 |
Lipid panel |
14 |
12 |
$185.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
48 |
$20.39 |
| 3078F |
|
189 |
130 |
$0.00 |
| 3008F |
|
205 |
140 |
$0.00 |
| 3074F |
|
190 |
130 |
$0.00 |