| Code | Description | Claims | Beneficiaries | Total Paid |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
40 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
48 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21 |
21 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
77 |
$650.65 |
| 99188 |
|
15 |
15 |
$215.70 |