| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,711 |
6,804 |
$408K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,510 |
2,285 |
$199K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,721 |
1,420 |
$134K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,418 |
3,286 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,775 |
1,737 |
$33K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,479 |
2,368 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
126 |
$4K |
| 81025 |
|
585 |
564 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
327 |
306 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
31 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,391 |
1,242 |
$3K |
| 83655 |
|
230 |
227 |
$2K |
| 81003 |
|
1,199 |
1,144 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$2K |
| 88738 |
|
455 |
433 |
$2K |
| 90658 |
|
185 |
182 |
$2K |
| 90461 |
|
897 |
760 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,011 |
1,855 |
$2K |
| 90756 |
|
52 |
52 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
49 |
$496.68 |
| 90686 |
|
58 |
57 |
$492.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
75 |
$491.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$241.98 |
| 82947 |
|
25 |
25 |
$66.54 |
| 86580 |
|
13 |
13 |
$63.55 |