| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
739 |
717 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
80 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
53 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
34 |
33 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$546.75 |
| 90686 |
|
57 |
57 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |