| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,781 |
20,230 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,395 |
3,324 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,268 |
2,185 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,267 |
3,249 |
$96K |
| G9920 |
Screening performed and negative |
4,988 |
4,932 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,700 |
5,599 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,319 |
2,317 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,248 |
1,219 |
$53K |
| 92552 |
|
4,400 |
4,396 |
$45K |
| 99173 |
|
4,056 |
4,054 |
$11K |
| 85018 |
|
4,026 |
3,843 |
$10K |
| 90670 |
|
1,514 |
1,512 |
$7K |
| 99381 |
|
67 |
59 |
$6K |
| 90698 |
|
1,129 |
1,128 |
$6K |
| 83026 |
|
2,353 |
2,345 |
$6K |
| 0071A |
|
122 |
122 |
$5K |
| 90680 |
|
854 |
853 |
$5K |
| 0072A |
|
107 |
107 |
$4K |
| 99460 |
|
155 |
155 |
$4K |
| 0002A |
|
78 |
78 |
$3K |
| 0001A |
|
74 |
74 |
$3K |
| 90744 |
|
594 |
593 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
720 |
717 |
$1K |
| 90686 |
|
1,237 |
1,233 |
$1K |
| 90633 |
|
570 |
570 |
$1K |
| 90688 |
|
1,167 |
1,166 |
$1K |
| 90685 |
|
289 |
289 |
$882.00 |
| 90716 |
|
493 |
492 |
$819.00 |
| 90707 |
|
432 |
431 |
$720.00 |
| 90700 |
|
355 |
354 |
$666.00 |
| 92551 |
|
2,206 |
2,203 |
$634.56 |
| 90671 |
|
45 |
45 |
$261.00 |
| 90734 |
|
178 |
178 |
$126.00 |
| 90651 |
|
264 |
264 |
$119.25 |
| 90715 |
|
71 |
70 |
$115.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$102.50 |
| 90713 |
|
51 |
51 |
$90.00 |
| 90656 |
|
60 |
60 |
$90.00 |
| 90648 |
|
31 |
30 |
$81.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,884 |
2,882 |
$44.73 |
| 90674 |
|
64 |
64 |
$36.00 |
| 90619 |
|
26 |
26 |
$27.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$11.06 |
| 92499 |
|
2,181 |
2,178 |
$0.00 |
| 99422 |
|
595 |
577 |
$0.00 |
| 92560 |
|
40 |
40 |
$0.00 |
| 99462 |
|
84 |
41 |
$0.00 |
| 99441 |
|
27 |
25 |
$0.00 |