| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,063 |
955 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
680 |
630 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
274 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
88 |
$1K |
| 90698 |
|
47 |
47 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$1K |
| 90670 |
|
159 |
157 |
$813.06 |
| 90744 |
|
46 |
46 |
$239.20 |
| 85018 |
|
38 |
38 |
$97.53 |
| 90686 |
|
14 |
14 |
$74.90 |
| 90734 |
|
13 |
13 |
$69.55 |