| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
849 |
823 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
389 |
377 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
266 |
266 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
214 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
63 |
$6K |
| 90723 |
|
125 |
124 |
$4K |
| 90670 |
|
228 |
226 |
$2K |
| 90686 |
|
147 |
147 |
$1K |
| 90647 |
|
64 |
63 |
$466.26 |
| 90685 |
|
14 |
14 |
$103.22 |
| 90648 |
|
13 |
13 |
$94.64 |