| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
361 |
332 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
272 |
258 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
88 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
62 |
$5K |
| 99070 |
|
92 |
80 |
$1K |
| 90670 |
|
24 |
24 |
$0.00 |
| 99000 |
|
47 |
46 |
$0.00 |