| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,967 |
4,102 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
882 |
843 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
605 |
583 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,017 |
3,714 |
$38K |
| 99188 |
|
2,259 |
2,142 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
520 |
467 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
473 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
228 |
219 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
665 |
637 |
$14K |
| 97803 |
|
1,624 |
1,544 |
$12K |
| 90461 |
|
1,472 |
1,349 |
$10K |
| 90686 |
|
1,078 |
1,071 |
$9K |
| 92587 |
|
567 |
553 |
$9K |
| 90670 |
|
512 |
510 |
$3K |
| 90680 |
|
209 |
209 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
78 |
$2K |
| 90707 |
|
135 |
131 |
$2K |
| 99174 |
|
2,888 |
2,651 |
$2K |
| 90713 |
|
602 |
578 |
$2K |
| 90633 |
|
275 |
265 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,132 |
1,932 |
$1K |
| 90648 |
|
516 |
513 |
$1K |
| 90700 |
|
776 |
757 |
$1K |
| 90744 |
|
194 |
191 |
$838.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
32 |
$641.62 |
| 90716 |
|
114 |
111 |
$548.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$279.76 |
| 90651 |
|
72 |
72 |
$130.71 |
| 90685 |
|
13 |
13 |
$110.54 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34 |
24 |
$0.05 |
| 90734 |
|
15 |
15 |
$0.00 |
| 99173 |
|
37 |
25 |
$0.00 |