| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
980 |
783 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
128 |
117 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
93 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
73 |
$8K |
| 90686 |
|
337 |
321 |
$7K |
| 90651 |
|
105 |
86 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
196 |
173 |
$2K |
| 90734 |
|
44 |
34 |
$1K |
| 96127 |
|
172 |
151 |
$732.10 |
| 90670 |
|
15 |
12 |
$471.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
12 |
$320.04 |