| Code | Description | Claims | Beneficiaries | Total Paid |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,427 |
1,411 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
294 |
260 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
113 |
$12K |
| 0001A |
|
164 |
164 |
$6K |
| 0002A |
|
163 |
163 |
$6K |
| G9920 |
Screening performed and negative |
211 |
211 |
$6K |
| 90648 |
|
322 |
320 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$3K |
| 90680 |
|
231 |
231 |
$2K |
| 90670 |
|
222 |
222 |
$2K |
| 90723 |
|
178 |
178 |
$2K |
| 99460 |
|
48 |
48 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
23 |
23 |
$548.20 |
| 90681 |
|
26 |
26 |
$234.00 |
| 90671 |
|
12 |
12 |
$108.00 |