| Code | Description | Claims | Beneficiaries | Total Paid |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
955 |
888 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
413 |
407 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
524 |
510 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
341 |
$43K |
| 99460 |
|
98 |
94 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
106 |
103 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$5K |
| 54150 |
|
12 |
12 |
$4K |
| 83655 |
|
73 |
73 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
18 |
$1K |
| 85018 |
|
75 |
75 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$441.00 |
| 87276 |
|
12 |
12 |
$432.00 |
| 87275 |
|
12 |
12 |
$432.00 |