| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,365 |
3,765 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,957 |
1,724 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
170 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
155 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
42 |
$3K |
| 90670 |
|
140 |
132 |
$2K |
| 90648 |
|
140 |
130 |
$2K |
| 90723 |
|
58 |
53 |
$1K |
| 0012A |
|
12 |
12 |
$340.00 |
| 90633 |
|
14 |
13 |
$237.48 |
| 90716 |
|
12 |
12 |
$178.11 |
| 0011A |
|
12 |
12 |
$152.58 |