| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
692 |
655 |
$18K |
| 96156 |
|
117 |
117 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
140 |
$6K |
| 92551 |
|
544 |
526 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
100 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
169 |
$4K |
| 81002 |
|
636 |
612 |
$1K |
| 85018 |
|
639 |
618 |
$1K |
| 90686 |
|
135 |
135 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
13 |
$592.32 |
| 99173 |
|
146 |
135 |
$588.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
45 |
$476.55 |
| 90688 |
|
37 |
37 |
$333.00 |
| 90651 |
|
12 |
12 |
$108.00 |