| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,964 |
3,629 |
$235K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
958 |
958 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
885 |
871 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
847 |
841 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
582 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
304 |
302 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
553 |
519 |
$19K |
| 90670 |
|
586 |
582 |
$13K |
| 90698 |
|
585 |
582 |
$10K |
| 90686 |
|
548 |
519 |
$6K |
| 90680 |
|
270 |
267 |
$5K |
| 90744 |
|
183 |
180 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
170 |
$2K |
| 96127 |
|
446 |
402 |
$2K |
| 99173 |
|
823 |
817 |
$2K |
| 87430 |
|
115 |
112 |
$2K |
| 90633 |
|
110 |
110 |
$1K |
| 83655 |
|
82 |
82 |
$1K |
| 99188 |
|
37 |
37 |
$805.63 |
| 85018 |
|
296 |
295 |
$744.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
78 |
$666.82 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
67 |
67 |
$591.12 |
| 90710 |
|
12 |
12 |
$562.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$390.84 |
| 36416 |
|
431 |
430 |
$338.74 |
| 90716 |
|
12 |
12 |
$252.42 |
| 90696 |
|
12 |
12 |
$218.47 |
| 81002 |
|
13 |
13 |
$33.61 |