| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,728 |
27,947 |
$1.85M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,216 |
2,200 |
$227K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,533 |
2,338 |
$220K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,714 |
1,587 |
$165K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,735 |
1,708 |
$157K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
941 |
913 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,191 |
7,033 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,920 |
2,880 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
998 |
942 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$1K |
| 87430 |
|
140 |
138 |
$531.83 |
| 90657 |
|
564 |
532 |
$511.46 |
| 90716 |
|
233 |
231 |
$177.47 |
| 90658 |
|
1,962 |
1,878 |
$169.01 |
| 90633 |
|
216 |
211 |
$87.31 |
| 90698 |
|
341 |
334 |
$82.00 |
| 97803 |
|
816 |
812 |
$61.51 |
| 87081 |
|
96 |
92 |
$34.06 |
| 90707 |
|
126 |
123 |
$16.00 |
| 90680 |
|
303 |
300 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90651 |
|
20 |
19 |
$0.00 |
| 90677 |
|
163 |
158 |
$0.00 |
| 90744 |
|
92 |
91 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
65 |
62 |
$0.00 |
| 86580 |
|
52 |
52 |
$0.00 |
| 90696 |
|
15 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
102 |
102 |
$0.00 |
| 90734 |
|
84 |
84 |
$0.00 |
| 90670 |
|
575 |
563 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |