| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,639 |
15,107 |
$2.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,747 |
6,030 |
$805K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,620 |
3,934 |
$566K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,232 |
3,191 |
$395K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,831 |
1,812 |
$224K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
852 |
818 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
871 |
864 |
$104K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
517 |
509 |
$5K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$2K |
| 99173 |
|
3,455 |
3,403 |
$1K |
| 92551 |
|
1,229 |
1,201 |
$1K |
| 92567 |
|
122 |
119 |
$16.08 |
| 81003 |
|
627 |
569 |
$3.00 |
| 85018 |
|
12 |
12 |
$0.00 |