| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
920 |
800 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
172 |
$10K |
| 99188 |
|
774 |
726 |
$10K |
| 92551 |
|
602 |
558 |
$7K |
| 99173 |
|
452 |
423 |
$7K |
| 3008F |
|
639 |
601 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
70 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$4K |
| 81002 |
|
673 |
625 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
114 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
103 |
$2K |
| 90686 |
|
331 |
313 |
$1K |
| 90672 |
|
15 |
15 |
$469.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
296 |
280 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
55 |
53 |
$0.00 |