| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,034 |
2,684 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,636 |
1,483 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,754 |
4,274 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,527 |
1,314 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,184 |
1,080 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,200 |
1,125 |
$91K |
| 99173 |
|
1,854 |
1,731 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
174 |
171 |
$12K |
| 90686 |
|
1,009 |
966 |
$11K |
| 90670 |
|
879 |
794 |
$9K |
| 90651 |
|
335 |
287 |
$6K |
| 90723 |
|
538 |
475 |
$6K |
| 90734 |
|
401 |
346 |
$6K |
| 90677 |
|
111 |
105 |
$6K |
| 90647 |
|
491 |
424 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
99 |
93 |
$5K |
| 90633 |
|
234 |
208 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$2K |
| 90656 |
|
105 |
103 |
$2K |
| 90715 |
|
142 |
119 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
77 |
$1K |
| 90681 |
|
111 |
104 |
$1K |
| 90710 |
|
14 |
14 |
$917.84 |
| 90620 |
|
44 |
42 |
$370.52 |
| 83655 |
|
29 |
28 |
$343.94 |
| 90696 |
|
14 |
14 |
$322.47 |
| 85018 |
|
70 |
69 |
$164.01 |
| 90685 |
|
14 |
13 |
$83.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |