| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
826 |
746 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
292 |
282 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
142 |
139 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
540 |
250 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
195 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
262 |
241 |
$3K |
| 92561 |
|
83 |
79 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
29 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
273 |
265 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 87807 |
|
93 |
83 |
$1K |
| 92558 |
|
50 |
49 |
$986.37 |
| 90670 |
|
40 |
40 |
$768.50 |
| 90686 |
|
58 |
57 |
$685.43 |
| 90648 |
|
47 |
47 |
$536.88 |
| 99173 |
|
145 |
137 |
$341.88 |
| 90723 |
|
24 |
24 |
$339.82 |
| 90685 |
|
27 |
27 |
$315.64 |
| 90633 |
|
24 |
23 |
$284.98 |
| 90651 |
|
16 |
16 |
$183.70 |
| 90715 |
|
14 |
14 |
$161.15 |
| 90696 |
|
15 |
15 |
$159.50 |
| 90734 |
|
13 |
13 |
$149.60 |
| 90710 |
|
12 |
12 |
$124.85 |