| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98 |
98 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
48 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
25 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
18 |
$982.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
43 |
$916.47 |
| 99460 |
|
14 |
14 |
$878.64 |
| 90677 |
|
33 |
33 |
$551.43 |
| 90723 |
|
18 |
18 |
$300.78 |
| 90656 |
|
18 |
18 |
$300.24 |
| 90680 |
|
17 |
17 |
$284.07 |
| 90647 |
|
15 |
15 |
$250.65 |
| 96160 |
|
13 |
12 |
$182.00 |