| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
982 |
945 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
276 |
274 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
457 |
416 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
155 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
123 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
73 |
$5K |
| 90688 |
|
160 |
150 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
79 |
$1K |
| 90700 |
|
81 |
80 |
$891.00 |
| 90734 |
|
64 |
63 |
$693.00 |
| 90713 |
|
48 |
47 |
$528.00 |
| 90670 |
|
46 |
46 |
$506.00 |
| 90648 |
|
47 |
46 |
$506.00 |
| 90686 |
|
34 |
34 |
$374.00 |
| 90649 |
|
17 |
17 |
$282.00 |
| 90633 |
|
24 |
24 |
$264.00 |
| 90687 |
|
16 |
16 |
$176.00 |