| Code | Description | Claims | Beneficiaries | Total Paid |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,893 |
4,643 |
$386K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,833 |
4,535 |
$383K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,804 |
2,672 |
$220K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,107 |
1,058 |
$87K |
| 90670 |
|
2,444 |
2,332 |
$29K |
| 90686 |
|
1,966 |
1,848 |
$26K |
| 90680 |
|
1,682 |
1,606 |
$20K |
| 90698 |
|
1,408 |
1,326 |
$18K |
| 90697 |
|
891 |
882 |
$13K |
| 90633 |
|
859 |
829 |
$10K |
| 90671 |
|
676 |
650 |
$8K |
| 99381 |
|
98 |
75 |
$5K |
| 90744 |
|
425 |
396 |
$5K |
| 90651 |
|
241 |
227 |
$3K |
| 90716 |
|
221 |
199 |
$2K |
| 90656 |
|
152 |
148 |
$2K |
| 90707 |
|
204 |
181 |
$2K |
| 90710 |
|
162 |
157 |
$2K |
| 90696 |
|
157 |
151 |
$2K |
| 90734 |
|
106 |
104 |
$1K |
| 90619 |
|
92 |
92 |
$1K |
| 90715 |
|
82 |
82 |
$1K |
| 90621 |
|
13 |
13 |
$170.82 |
| 96160 |
|
75 |
70 |
$0.00 |
| 86403 |
|
405 |
349 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,281 |
1,155 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
115 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
94 |
94 |
$0.00 |
| 97802 |
|
41 |
41 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
41 |
41 |
$0.00 |
| 81000 |
|
56 |
53 |
$0.00 |