| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,371 |
3,953 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
681 |
665 |
$17K |
| 92551 |
|
1,969 |
1,917 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
358 |
346 |
$8K |
| 97802 |
|
2,469 |
2,440 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,080 |
2,071 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
118 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
671 |
645 |
$4K |
| 81002 |
|
1,835 |
1,794 |
$4K |
| 90686 |
|
606 |
603 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
367 |
365 |
$2K |
| 92081 |
|
207 |
202 |
$340.00 |
| 92552 |
|
20 |
20 |
$208.20 |
| 90688 |
|
146 |
144 |
$199.70 |
| 90651 |
|
41 |
41 |
$194.60 |
| 90620 |
|
71 |
69 |
$169.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
12 |
$129.28 |
| 85018 |
|
84 |
82 |
$114.62 |
| 90734 |
|
25 |
25 |
$106.20 |
| 90700 |
|
25 |
25 |
$90.00 |
| 3008F |
|
2,003 |
1,986 |
$42.00 |
| 90656 |
|
15 |
15 |
$27.00 |