| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
524 |
443 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
247 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
289 |
236 |
$28K |
| S9470 |
Nutritional counseling, dietitian visit |
828 |
759 |
$23K |
| S9451 |
Exercise classes, non-physician provider, per session |
808 |
737 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
87 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
174 |
147 |
$10K |
| 92552 |
|
254 |
217 |
$7K |
| 92551 |
|
514 |
470 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
27 |
$3K |
| 99188 |
|
93 |
87 |
$2K |
| 90688 |
|
93 |
93 |
$1K |
| 96127 |
|
348 |
319 |
$1K |
| 99173 |
|
764 |
653 |
$1K |
| 99460 |
|
24 |
22 |
$980.16 |
| 90672 |
|
58 |
54 |
$550.00 |
| 90651 |
|
50 |
49 |
$480.00 |
| 90734 |
|
29 |
26 |
$250.00 |
| 90648 |
|
35 |
24 |
$250.00 |
| 96160 |
|
112 |
93 |
$135.16 |
| 90715 |
|
12 |
12 |
$120.00 |
| 90670 |
|
12 |
12 |
$120.00 |
| 85018 |
|
440 |
370 |
$0.00 |
| 90686 |
|
145 |
145 |
$0.00 |
| 82962 |
|
93 |
78 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
90 |
74 |
$0.00 |