| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
199 |
193 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
73 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
34 |
$3K |
| 90698 |
|
54 |
48 |
$538.25 |
| 90670 |
|
53 |
47 |
$527.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
63 |
43 |
$454.06 |
| 90680 |
|
19 |
16 |
$173.25 |
| 99174 |
|
15 |
12 |
$80.06 |