| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,921 |
7,678 |
$668K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,989 |
5,284 |
$310K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,212 |
2,044 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,104 |
1,902 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,032 |
982 |
$60K |
| 90670 |
|
1,315 |
1,227 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
297 |
275 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
294 |
284 |
$16K |
| 90656 |
|
846 |
793 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
705 |
642 |
$14K |
| 99401 |
|
491 |
463 |
$14K |
| 90680 |
|
649 |
611 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
945 |
885 |
$12K |
| 90698 |
|
629 |
586 |
$11K |
| 92551 |
|
2,168 |
2,016 |
$9K |
| 90655 |
|
264 |
246 |
$5K |
| 99173 |
|
855 |
807 |
$4K |
| 90700 |
|
175 |
168 |
$3K |
| 90633 |
|
174 |
152 |
$3K |
| 90716 |
|
151 |
138 |
$3K |
| 90707 |
|
147 |
134 |
$3K |
| 90744 |
|
136 |
123 |
$2K |
| 90461 |
|
51 |
50 |
$2K |
| 36416 |
|
540 |
481 |
$1K |
| 96127 |
|
368 |
330 |
$914.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$843.67 |
| 99461 |
|
16 |
12 |
$661.32 |
| 90648 |
|
37 |
37 |
$562.96 |
| 90649 |
|
29 |
27 |
$534.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
30 |
$513.00 |
| 90671 |
|
14 |
14 |
$277.06 |
| 90651 |
|
15 |
13 |
$257.27 |
| 90713 |
|
12 |
12 |
$237.48 |
| 90697 |
|
15 |
13 |
$237.48 |