| Code | Description | Claims | Beneficiaries | Total Paid |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,167 |
1,013 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,560 |
1,419 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
548 |
459 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
109 |
$9K |
| 90686 |
|
604 |
558 |
$6K |
| 90670 |
|
466 |
384 |
$6K |
| 90723 |
|
320 |
278 |
$4K |
| 90647 |
|
231 |
206 |
$3K |
| 90677 |
|
172 |
160 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
37 |
$3K |
| 99460 |
|
43 |
40 |
$2K |
| 90656 |
|
48 |
47 |
$802.08 |
| 90681 |
|
43 |
41 |
$594.81 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$568.49 |
| 99174 |
|
34 |
25 |
$238.40 |