| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
762 |
652 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
250 |
236 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
241 |
207 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
131 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
20 |
$2K |
| 90686 |
|
128 |
122 |
$1K |
| 90670 |
|
112 |
109 |
$925.73 |
| 90698 |
|
78 |
74 |
$492.80 |
| 90656 |
|
18 |
18 |
$363.66 |
| 90651 |
|
15 |
13 |
$96.00 |
| 90633 |
|
14 |
12 |
$89.60 |