| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,227 |
12,803 |
$906K |
| 99441 |
|
12,542 |
8,972 |
$477K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,185 |
3,858 |
$354K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,028 |
5,908 |
$187K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,052 |
2,051 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,881 |
1,858 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,061 |
1,059 |
$89K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,435 |
2,046 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
840 |
816 |
$47K |
| 90461 |
|
1,097 |
1,082 |
$32K |
| 86580 |
|
2,301 |
2,299 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,963 |
1,839 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
729 |
396 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
119 |
$5K |
| 99173 |
|
3,537 |
3,533 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,532 |
1,521 |
$875.27 |
| 0072A |
|
16 |
16 |
$630.88 |
| 0071A |
|
16 |
16 |
$626.32 |
| 92586 |
|
14 |
14 |
$274.35 |
| 90686 |
|
1,906 |
1,906 |
$178.01 |
| 96127 |
|
1,048 |
1,045 |
$51.02 |
| 90670 |
|
618 |
618 |
$35.70 |
| 90716 |
|
211 |
211 |
$0.00 |
| 90651 |
|
140 |
140 |
$0.00 |
| 90696 |
|
40 |
40 |
$0.00 |
| 1036F |
|
653 |
651 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
879 |
876 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
765 |
762 |
$0.00 |
| 1000F |
|
652 |
650 |
$0.00 |
| 90723 |
|
91 |
91 |
$0.00 |
| 91307 |
|
40 |
40 |
$0.00 |
| 3725F |
|
773 |
770 |
$0.00 |
| 90648 |
|
329 |
329 |
$0.00 |
| 90685 |
|
324 |
324 |
$0.00 |
| 90633 |
|
253 |
253 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 90734 |
|
138 |
138 |
$0.00 |
| 90707 |
|
158 |
158 |
$0.00 |
| 90672 |
|
276 |
276 |
$0.00 |
| 90715 |
|
49 |
49 |
$0.00 |
| 90621 |
|
64 |
64 |
$0.00 |