| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,880 |
18,897 |
$1.26M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
658 |
647 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
641 |
629 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
474 |
466 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,148 |
1,128 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
142 |
$10K |
| 86580 |
|
1,643 |
1,618 |
$9K |
| 90660 |
|
448 |
436 |
$9K |
| 90658 |
|
208 |
208 |
$3K |
| 92551 |
|
119 |
119 |
$849.60 |
| 99080 |
|
46 |
44 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |