| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
839 |
754 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
473 |
430 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
188 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
135 |
$2K |
| 90670 |
|
112 |
109 |
$2K |
| 90723 |
|
88 |
84 |
$989.37 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$942.04 |
| 90647 |
|
55 |
54 |
$587.23 |
| 90686 |
|
32 |
30 |
$339.91 |
| 85018 |
|
104 |
98 |
$263.52 |
| 83655 |
|
19 |
17 |
$211.65 |
| 90710 |
|
13 |
13 |
$143.00 |
| 90633 |
|
14 |
14 |
$143.00 |
| 90696 |
|
13 |
13 |
$143.00 |
| 92551 |
|
14 |
14 |
$134.88 |
| 99173 |
|
47 |
45 |
$108.13 |