| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
799 |
703 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
231 |
228 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
227 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
154 |
149 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
898 |
854 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
44 |
$4K |
| 92551 |
|
450 |
442 |
$2K |
| 99174 |
|
381 |
373 |
$301.76 |
| 92552 |
|
18 |
18 |
$277.86 |
| 94060 |
|
27 |
26 |
$266.54 |
| 94726 |
|
27 |
26 |
$265.14 |
| 96161 |
|
161 |
151 |
$252.42 |
| 83655 |
|
25 |
25 |
$240.92 |
| 99000 |
|
37 |
36 |
$226.80 |
| 94729 |
|
27 |
26 |
$153.30 |
| 95012 |
|
12 |
12 |
$121.28 |
| 99173 |
|
156 |
152 |
$48.96 |
| 99172 |
|
43 |
41 |
$32.60 |
| 94664 |
|
27 |
26 |
$0.00 |