| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,412 |
20,791 |
$1.91M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,606 |
12,796 |
$686K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,061 |
4,843 |
$515K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,976 |
1,948 |
$174K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,780 |
4,660 |
$90K |
| 90686 |
|
3,711 |
3,698 |
$73K |
| 93000 |
|
4,293 |
4,279 |
$72K |
| 99442 |
|
604 |
582 |
$40K |
| 99441 |
|
995 |
961 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
12,406 |
12,272 |
$21K |
| 90750 |
|
94 |
94 |
$16K |
| 92587 |
|
471 |
470 |
$8K |
| 94010 |
|
224 |
224 |
$8K |
| 90715 |
|
149 |
149 |
$6K |
| 83013 |
|
83 |
83 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
37 |
$4K |
| 0011A |
|
119 |
119 |
$4K |
| 0013A |
|
97 |
97 |
$4K |
| 0012A |
|
89 |
89 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
226 |
224 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
135 |
135 |
$2K |
| 90662 |
|
26 |
26 |
$1K |
| 0031A |
|
24 |
24 |
$805.55 |
| 83014 |
|
197 |
195 |
$688.73 |
| 99080 |
|
1,710 |
318 |
$0.00 |
| 91301 |
|
123 |
121 |
$0.00 |
| 99429 |
|
148 |
124 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |