| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,598 |
1,494 |
$141K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,405 |
1,355 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
186 |
182 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
114 |
113 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,118 |
1,002 |
$12K |
| 90461 |
|
188 |
182 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
39 |
$969.99 |