| Code | Description | Claims | Beneficiaries | Total Paid |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
30 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
209 |
136 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
83 |
77 |
$0.00 |
| 99218 |
|
73 |
73 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
16 |
$0.00 |