| Code | Description | Claims | Beneficiaries | Total Paid |
| 99441 |
|
2,081 |
1,789 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,996 |
7,152 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
456 |
375 |
$172.43 |
| 99201 |
|
146 |
139 |
$96.00 |
| 99442 |
|
85 |
77 |
$20.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
313 |
185 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$0.00 |
| 99443 |
|
19 |
17 |
$0.00 |