| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,005 |
7,031 |
$364K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,216 |
3,097 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,689 |
2,627 |
$205K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,416 |
1,345 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
635 |
605 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,702 |
1,610 |
$40K |
| 90723 |
|
1,896 |
1,724 |
$20K |
| 90647 |
|
1,863 |
1,665 |
$20K |
| 90670 |
|
1,993 |
1,874 |
$19K |
| 90680 |
|
1,599 |
1,479 |
$17K |
| 92551 |
|
755 |
738 |
$11K |
| 90633 |
|
787 |
713 |
$9K |
| 99460 |
|
143 |
133 |
$8K |
| 90677 |
|
390 |
372 |
$7K |
| 90734 |
|
452 |
402 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
122 |
118 |
$5K |
| 99173 |
|
756 |
740 |
$5K |
| 90710 |
|
287 |
241 |
$4K |
| 90715 |
|
276 |
241 |
$3K |
| 90696 |
|
246 |
221 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
157 |
$3K |
| 90686 |
|
297 |
294 |
$3K |
| 90707 |
|
120 |
108 |
$1K |
| 54150 |
|
12 |
12 |
$930.00 |
| 90716 |
|
97 |
96 |
$754.83 |
| 90700 |
|
42 |
26 |
$528.30 |
| 90656 |
|
32 |
31 |
$515.35 |
| 90685 |
|
17 |
17 |
$108.80 |
| 90651 |
|
13 |
13 |
$83.20 |