| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,134 |
3,034 |
$194K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,488 |
1,481 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,284 |
1,274 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
928 |
923 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
889 |
871 |
$71K |
| 90723 |
|
262 |
262 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
45 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
96 |
$4K |
| 83655 |
|
295 |
292 |
$3K |
| 90648 |
|
467 |
467 |
$3K |
| 90670 |
|
373 |
373 |
$2K |
| 90686 |
|
188 |
186 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
75 |
$986.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
49 |
$875.84 |
| 85018 |
|
442 |
438 |
$850.30 |
| 90633 |
|
151 |
151 |
$846.96 |
| 90651 |
|
118 |
116 |
$649.62 |
| 90680 |
|
82 |
82 |
$482.88 |
| 81002 |
|
121 |
121 |
$333.79 |
| 90734 |
|
55 |
55 |
$316.49 |
| 90715 |
|
12 |
12 |
$216.66 |
| 90681 |
|
25 |
25 |
$133.75 |
| 90620 |
|
14 |
13 |
$78.92 |