| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
643 |
590 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
372 |
334 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
313 |
275 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
275 |
250 |
$19K |
| 99383 |
|
165 |
158 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
166 |
149 |
$11K |
| 99384 |
|
60 |
58 |
$5K |
| 90670 |
|
272 |
247 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
300 |
121 |
$4K |
| 92551 |
|
626 |
543 |
$3K |
| 90686 |
|
326 |
282 |
$3K |
| 99382 |
|
44 |
37 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
33 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
27 |
$2K |
| 83655 |
|
316 |
269 |
$2K |
| 90651 |
|
82 |
78 |
$2K |
| 90633 |
|
152 |
136 |
$2K |
| 85018 |
|
719 |
587 |
$1K |
| 90698 |
|
90 |
84 |
$969.25 |
| 90648 |
|
100 |
91 |
$949.02 |
| 81003 |
|
654 |
558 |
$866.72 |
| 90744 |
|
81 |
76 |
$820.31 |
| 90734 |
|
44 |
44 |
$688.81 |
| 90723 |
|
54 |
46 |
$484.89 |
| 96127 |
|
94 |
91 |
$341.03 |
| 90710 |
|
22 |
14 |
$330.00 |
| 99000 |
|
124 |
118 |
$320.44 |
| 90681 |
|
14 |
14 |
$263.74 |
| 81002 |
|
114 |
86 |
$252.93 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
33 |
$214.88 |
| 99173 |
|
109 |
97 |
$197.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
16 |
$197.26 |
| 90715 |
|
15 |
15 |
$186.39 |
| 90707 |
|
18 |
15 |
$148.03 |
| 87807 |
|
13 |
12 |
$147.19 |
| 90700 |
|
13 |
13 |
$143.55 |
| 36416 |
|
393 |
328 |
$139.16 |
| 96161 |
|
21 |
21 |
$53.59 |
| 94760 |
|
74 |
66 |
$43.27 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
18 |
$21.00 |