| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,040 |
1,860 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
694 |
656 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
161 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
158 |
$22K |
| 90686 |
|
460 |
454 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
61 |
$8K |
| 96127 |
|
476 |
416 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
275 |
209 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
22 |
13 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
71 |
67 |
$939.96 |
| 96160 |
|
102 |
100 |
$746.48 |
| 90661 |
|
18 |
13 |
$285.48 |
| 99177 |
|
110 |
108 |
$222.00 |
| 92587 |
|
27 |
27 |
$170.81 |