| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
106 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
41 |
$926.97 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
14 |
$811.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
100 |
$504.57 |
| 96160 |
|
424 |
164 |
$239.26 |
| 92551 |
|
38 |
18 |
$71.60 |
| 96127 |
|
59 |
17 |
$68.48 |
| 99173 |
|
38 |
18 |
$22.20 |