| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,738 |
2,531 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,555 |
1,341 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,237 |
1,087 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
976 |
904 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
148 |
140 |
$11K |
| 90670 |
|
866 |
731 |
$9K |
| 90647 |
|
553 |
473 |
$7K |
| 90723 |
|
508 |
438 |
$6K |
| 90686 |
|
462 |
439 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
38 |
$3K |
| 90677 |
|
169 |
167 |
$3K |
| 99460 |
|
40 |
40 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
43 |
43 |
$2K |
| 90633 |
|
117 |
104 |
$1K |
| 90681 |
|
86 |
76 |
$1K |
| 99174 |
|
83 |
79 |
$596.00 |