| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
901 |
853 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
522 |
493 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
214 |
213 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
166 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
102 |
$12K |
| 87428 |
|
76 |
71 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
412 |
405 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
215 |
210 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
57 |
57 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$281.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$239.75 |
| 82962 |
|
62 |
59 |
$110.66 |