| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,590 |
5,491 |
$587K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
799 |
799 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,784 |
2,636 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
453 |
452 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
392 |
387 |
$47K |
| 92551 |
|
1,982 |
1,978 |
$22K |
| 90686 |
|
1,782 |
1,772 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
323 |
299 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
94 |
92 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
41 |
$5K |
| 0124A |
|
109 |
109 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$2K |
| 0072A |
|
49 |
49 |
$2K |
| 91320 |
|
18 |
18 |
$1K |
| 0071A |
|
24 |
24 |
$922.89 |
| 0154A |
|
19 |
19 |
$792.78 |
| 97802 |
|
27 |
27 |
$782.10 |
| 0073A |
|
18 |
18 |
$749.93 |
| 90480 |
|
21 |
21 |
$594.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
17 |
$417.18 |
| 92587 |
|
16 |
16 |
$309.76 |
| S9451 |
Exercise classes, non-physician provider, per session |
15 |
15 |
$273.10 |
| 90656 |
|
61 |
61 |
$185.71 |
| 90716 |
|
13 |
13 |
$160.00 |
| 90734 |
|
69 |
69 |
$131.96 |
| 91312 |
|
93 |
91 |
$118.52 |
| 90707 |
|
13 |
13 |
$90.00 |
| 91315 |
|
17 |
17 |
$32.00 |
| 91307 |
|
77 |
71 |
$0.15 |
| 90619 |
|
12 |
12 |
$0.00 |