| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,821 |
10,582 |
$111K |
| 86580 |
|
2,919 |
2,916 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,723 |
2,688 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,278 |
2,244 |
$13K |
| 99401 |
|
6,246 |
6,171 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,572 |
1,551 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,640 |
1,590 |
$11K |
| 97802 |
|
6,471 |
6,391 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
452 |
438 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
305 |
300 |
$5K |
| 90686 |
|
2,656 |
2,655 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
111 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
242 |
227 |
$4K |
| 0001A |
|
86 |
85 |
$3K |
| 86480 |
|
1,474 |
1,474 |
$2K |
| 90473 |
|
130 |
128 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,733 |
4,722 |
$2K |
| 0002A |
|
42 |
42 |
$1K |
| 90688 |
|
676 |
674 |
$814.52 |
| 83655 |
|
165 |
165 |
$807.81 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
955 |
949 |
$791.70 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,259 |
1,259 |
$706.85 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
29 |
29 |
$610.00 |
| 87490 |
|
690 |
687 |
$535.90 |
| 90621 |
|
251 |
251 |
$307.32 |
| 90670 |
|
235 |
235 |
$270.00 |
| 87081 |
|
329 |
322 |
$157.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
232 |
$130.28 |
| 90651 |
|
455 |
455 |
$120.00 |
| 99385 |
|
27 |
27 |
$110.93 |
| 90656 |
|
22 |
22 |
$83.16 |
| 90734 |
|
277 |
277 |
$60.00 |
| 90744 |
|
80 |
80 |
$58.22 |
| 90700 |
|
37 |
37 |
$25.00 |
| 99408 |
|
2,763 |
2,738 |
$20.37 |
| 3351F |
|
858 |
852 |
$0.00 |
| 90716 |
|
67 |
67 |
$0.00 |
| 3008F |
|
2,954 |
2,911 |
$0.00 |
| 90698 |
|
56 |
56 |
$0.00 |
| 90680 |
|
31 |
31 |
$0.00 |
| 3511F |
|
984 |
982 |
$0.00 |
| 90707 |
|
78 |
78 |
$0.00 |
| 90672 |
|
123 |
121 |
$0.00 |
| 3210F |
|
186 |
184 |
$0.00 |
| 90685 |
|
37 |
37 |
$0.00 |
| 91300 |
|
119 |
114 |
$0.00 |
| 90715 |
|
33 |
33 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |