| Code | Description | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
$664K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
$16K |
| 90686 |
|
$6K |
| 96127 |
|
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$4K |