| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,878 |
2,129 |
$214K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
381 |
261 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,267 |
929 |
$19K |
| 92552 |
|
440 |
363 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 96160 |
|
196 |
139 |
$1K |
| 88738 |
|
317 |
224 |
$1K |
| 96161 |
|
193 |
138 |
$0.00 |