| Code | Description | Claims | Bene. Records | Total Paid |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
745 |
725 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
654 |
651 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
807 |
787 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
644 |
624 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,002 |
967 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
327 |
324 |
$34K |
| 90698 |
|
629 |
620 |
$11K |
| 96161 |
|
243 |
234 |
$5K |
| 90670 |
|
654 |
637 |
$3K |
| 90686 |
|
360 |
357 |
$2K |
| 90744 |
|
303 |
297 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 90681 |
|
257 |
253 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
46 |
$983.26 |
| 99173 |
|
251 |
248 |
$699.51 |
| 90633 |
|
136 |
136 |
$691.41 |
| 90651 |
|
96 |
93 |
$475.43 |
| 90734 |
|
82 |
79 |
$398.24 |
| 90715 |
|
29 |
28 |
$319.15 |
| 92551 |
|
13 |
13 |
$147.16 |
| 90620 |
|
32 |
30 |
$134.99 |