| Code | Description | Claims | Beneficiaries | Total Paid |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,228 |
1,047 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
716 |
637 |
$32K |
| 90677 |
|
202 |
175 |
$10K |
| 96127 |
|
610 |
577 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
93 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
300 |
275 |
$4K |
| 88720 |
|
681 |
547 |
$3K |
| 90723 |
|
141 |
115 |
$2K |
| 90680 |
|
118 |
96 |
$2K |
| 90670 |
|
105 |
98 |
$2K |
| 90697 |
|
97 |
82 |
$2K |
| 90647 |
|
96 |
78 |
$2K |
| 90686 |
|
89 |
71 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
55 |
$1K |
| 90681 |
|
70 |
54 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$795.08 |
| 90380 |
|
38 |
32 |
$634.98 |
| 99381 |
|
15 |
15 |
$629.35 |
| 90656 |
|
33 |
33 |
$545.30 |
| 90633 |
|
15 |
14 |
$250.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
16 |
$196.12 |