| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,150 |
1,878 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
777 |
700 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
175 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
136 |
120 |
$9K |
| 0502F |
|
196 |
129 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
134 |
125 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
98 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
43 |
$1K |
| 90686 |
|
71 |
54 |
$891.74 |
| 90698 |
|
39 |
38 |
$693.20 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
16 |
$570.03 |
| 90670 |
|
45 |
45 |
$480.64 |
| 81002 |
|
174 |
165 |
$426.40 |
| 85018 |
|
156 |
139 |
$361.92 |
| 90744 |
|
12 |
12 |
$129.08 |
| 81003 |
|
45 |
42 |
$98.10 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
78 |
$64.73 |