| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,333 |
3,671 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
644 |
624 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
598 |
575 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
580 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,423 |
2,313 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
395 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
877 |
850 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
224 |
217 |
$15K |
| 90649 |
|
127 |
127 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,056 |
1,942 |
$3K |
| 36406 |
|
111 |
104 |
$2K |
| 90686 |
|
874 |
819 |
$2K |
| 83655 |
|
407 |
372 |
$2K |
| 3008F |
|
1,545 |
1,469 |
$2K |
| 90733 |
|
32 |
32 |
$1K |
| 90716 |
|
74 |
74 |
$1K |
| 90670 |
|
389 |
376 |
$909.82 |
| 99188 |
|
38 |
38 |
$835.14 |
| 90734 |
|
12 |
12 |
$629.40 |
| 90707 |
|
76 |
75 |
$483.00 |
| 90620 |
|
82 |
82 |
$422.64 |
| 90713 |
|
416 |
404 |
$329.86 |
| 90700 |
|
511 |
495 |
$323.26 |
| 90715 |
|
27 |
26 |
$188.24 |
| 90633 |
|
122 |
118 |
$175.09 |
| 99050 |
|
12 |
12 |
$124.96 |
| 90685 |
|
192 |
179 |
$53.42 |
| 90648 |
|
374 |
366 |
$21.12 |
| 90744 |
|
104 |
102 |
$17.95 |
| 90680 |
|
172 |
169 |
$0.00 |