| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
635 |
576 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
63 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
46 |
45 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
101 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
15 |
$1K |
| 99460 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
39 |
$599.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$540.00 |
| 92551 |
|
17 |
17 |
$145.50 |
| 99173 |
|
17 |
17 |
$35.31 |
| 97802 |
|
51 |
51 |
$0.00 |
| 90698 |
|
30 |
29 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |
| 90670 |
|
29 |
28 |
$0.00 |