| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,590 |
2,344 |
$33K |
| 92552 |
|
2,017 |
1,840 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
900 |
759 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,203 |
1,090 |
$12K |
| 99381 |
|
178 |
162 |
$10K |
| 92567 |
|
548 |
534 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,015 |
806 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
704 |
647 |
$3K |
| 90698 |
|
301 |
301 |
$2K |
| 90670 |
|
291 |
291 |
$2K |
| 90680 |
|
232 |
232 |
$2K |
| 90744 |
|
215 |
215 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
368 |
332 |
$2K |
| 88720 |
|
313 |
226 |
$1K |
| 99383 |
|
68 |
57 |
$795.52 |
| 90686 |
|
141 |
141 |
$468.00 |
| 96127 |
|
1,033 |
914 |
$358.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
15 |
$252.81 |
| 90685 |
|
268 |
215 |
$130.06 |
| 94760 |
|
633 |
614 |
$116.91 |
| 99173 |
|
1,499 |
1,326 |
$84.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$70.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,703 |
1,451 |
$7.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
210 |
210 |
$4.86 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,836 |
1,659 |
$0.46 |
| 97802 |
|
1,341 |
1,206 |
$0.37 |
| 1220F |
|
676 |
605 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
173 |
173 |
$0.00 |
| 3351F |
|
25 |
25 |
$0.00 |
| 99401 |
|
199 |
197 |
$0.00 |
| 90461 |
|
1,491 |
874 |
$0.00 |