| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,024 |
5,585 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,673 |
2,525 |
$162K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,399 |
1,354 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,184 |
1,165 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
958 |
946 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
444 |
436 |
$31K |
| 90698 |
|
989 |
977 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
624 |
615 |
$9K |
| 90707 |
|
410 |
402 |
$7K |
| 90670 |
|
1,227 |
1,210 |
$7K |
| 90680 |
|
818 |
813 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
170 |
$4K |
| 90744 |
|
722 |
715 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
119 |
$3K |
| 90633 |
|
531 |
521 |
$3K |
| 99381 |
|
38 |
38 |
$3K |
| 90686 |
|
444 |
442 |
$3K |
| 90716 |
|
425 |
417 |
$2K |
| 90696 |
|
71 |
70 |
$2K |
| 90700 |
|
62 |
61 |
$1K |
| 99460 |
|
12 |
12 |
$801.05 |
| 90651 |
|
89 |
87 |
$488.91 |
| 90734 |
|
80 |
74 |
$418.32 |
| 90685 |
|
71 |
71 |
$395.97 |
| 90648 |
|
12 |
12 |
$73.24 |