| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
370 |
332 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
152 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
185 |
161 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
451 |
406 |
$8K |
| 90648 |
|
113 |
101 |
$2K |
| 90677 |
|
97 |
87 |
$2K |
| 90723 |
|
75 |
65 |
$1K |
| 99383 |
|
14 |
13 |
$1K |
| 90681 |
|
30 |
25 |
$501.30 |
| 90633 |
|
30 |
27 |
$501.30 |
| 90686 |
|
13 |
12 |
$217.23 |