| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,067 |
997 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
130 |
127 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
136 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
59 |
$4K |
| 90723 |
|
65 |
65 |
$2K |
| 90686 |
|
230 |
227 |
$1K |
| 92551 |
|
29 |
28 |
$835.86 |
| 90670 |
|
142 |
138 |
$734.28 |
| 90680 |
|
52 |
52 |
$276.77 |
| 90647 |
|
28 |
28 |
$148.74 |