| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
943 |
855 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
255 |
248 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
195 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
231 |
219 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
84 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
637 |
555 |
$6K |
| 99383 |
|
30 |
28 |
$3K |
| 99382 |
|
29 |
25 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
170 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$231.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
302 |
297 |
$0.00 |
| 99173 |
|
198 |
197 |
$0.00 |
| 90670 |
|
165 |
157 |
$0.00 |
| 90685 |
|
26 |
26 |
$0.00 |
| 90633 |
|
78 |
74 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90734 |
|
35 |
35 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90461 |
|
65 |
63 |
$0.00 |
| 90651 |
|
45 |
45 |
$0.00 |
| 90698 |
|
124 |
117 |
$0.00 |
| 90686 |
|
112 |
111 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$0.00 |
| 90744 |
|
29 |
26 |
$0.00 |