| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
833 |
759 |
$16K |
| 85018 |
|
310 |
308 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
591 |
552 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
95 |
$827.26 |
| G9920 |
Screening performed and negative |
241 |
241 |
$814.42 |
| 83518 |
|
56 |
56 |
$524.18 |
| 81000 |
|
80 |
79 |
$366.89 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
102 |
$331.73 |
| 90688 |
|
128 |
128 |
$292.30 |
| 90698 |
|
12 |
12 |
$33.75 |
| 92551 |
|
223 |
221 |
$33.06 |
| 92081 |
|
128 |
127 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 92082 |
|
59 |
59 |
$0.00 |