| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,199 |
1,041 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
395 |
394 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
249 |
243 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
161 |
151 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
141 |
$12K |
| 99188 |
|
336 |
335 |
$6K |
| 90686 |
|
371 |
371 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
383 |
228 |
$3K |
| 92551 |
|
259 |
257 |
$3K |
| 90670 |
|
234 |
234 |
$3K |
| 90647 |
|
144 |
144 |
$2K |
| 90723 |
|
143 |
143 |
$2K |
| 90680 |
|
118 |
118 |
$1K |
| 90633 |
|
93 |
93 |
$1K |
| 90685 |
|
70 |
70 |
$827.36 |
| 99173 |
|
319 |
317 |
$814.73 |
| 85018 |
|
239 |
235 |
$689.06 |
| 90651 |
|
56 |
55 |
$654.94 |
| 96127 |
|
183 |
140 |
$513.37 |
| 96161 |
|
155 |
139 |
$400.02 |
| 90715 |
|
13 |
13 |
$149.05 |
| 82465 |
|
14 |
13 |
$68.64 |
| 88738 |
|
12 |
12 |
$63.20 |
| 36416 |
|
153 |
150 |
$36.50 |