| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,120 |
2,051 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
954 |
923 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
889 |
884 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
917 |
906 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
665 |
648 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
609 |
599 |
$54K |
| 90698 |
|
834 |
827 |
$15K |
| 96161 |
|
278 |
271 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
217 |
213 |
$5K |
| 90670 |
|
888 |
880 |
$4K |
| 90686 |
|
569 |
567 |
$3K |
| 90744 |
|
461 |
457 |
$2K |
| 90681 |
|
394 |
389 |
$2K |
| 99381 |
|
14 |
14 |
$2K |
| 90651 |
|
264 |
258 |
$1K |
| 90633 |
|
241 |
239 |
$1K |
| 99173 |
|
421 |
412 |
$1K |
| 92551 |
|
91 |
91 |
$1K |
| 90734 |
|
200 |
193 |
$980.64 |
| 90620 |
|
185 |
178 |
$842.93 |
| 90715 |
|
53 |
50 |
$590.23 |
| 90710 |
|
42 |
42 |
$548.88 |
| 90696 |
|
43 |
41 |
$533.92 |
| 90707 |
|
45 |
44 |
$525.25 |
| 96127 |
|
12 |
12 |
$480.00 |
| 90716 |
|
44 |
43 |
$220.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$176.60 |