| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,538 |
2,378 |
$205K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
684 |
651 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
603 |
586 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,681 |
1,593 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
264 |
261 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
345 |
296 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
111 |
$15K |
| 90670 |
|
265 |
252 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
36 |
36 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
59 |
57 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
175 |
164 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
104 |
100 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
13 |
$1K |
| 90723 |
|
80 |
80 |
$960.95 |
| 90686 |
|
343 |
333 |
$934.33 |
| 90651 |
|
12 |
12 |
$874.76 |
| 90461 |
|
42 |
37 |
$861.06 |
| 90647 |
|
169 |
160 |
$801.92 |
| 90680 |
|
53 |
53 |
$715.05 |
| 90633 |
|
72 |
66 |
$185.10 |
| 90685 |
|
86 |
83 |
$165.33 |
| 90700 |
|
13 |
13 |
$127.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
40 |
$103.38 |
| G8482 |
Influenza immunization administered or previously received |
37 |
33 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |