| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
903 |
837 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
189 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
181 |
181 |
$8K |
| 92551 |
|
667 |
662 |
$7K |
| 99381 |
|
74 |
69 |
$7K |
| G9920 |
Screening performed and negative |
246 |
243 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
97 |
$4K |
| 90670 |
|
187 |
186 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
28 |
$2K |
| 90698 |
|
179 |
179 |
$2K |
| 90680 |
|
89 |
89 |
$785.25 |
| 90656 |
|
85 |
85 |
$765.00 |
| 85018 |
|
394 |
390 |
$762.95 |
| 81000 |
|
255 |
252 |
$591.93 |
| 92081 |
|
44 |
43 |
$496.86 |
| 90744 |
|
41 |
41 |
$366.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
99 |
$249.76 |
| 90651 |
|
12 |
12 |
$108.00 |