| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,086 |
16,468 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,556 |
5,059 |
$552K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,542 |
1,490 |
$158K |
| 99215 |
Prolong outpt/office vis |
780 |
735 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,714 |
1,531 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
778 |
738 |
$69K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
311 |
288 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,837 |
1,735 |
$27K |
| 99385 |
|
224 |
218 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
270 |
250 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
7,795 |
7,264 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
165 |
$15K |
| 99173 |
|
4,593 |
4,422 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
718 |
682 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
631 |
578 |
$7K |
| 92551 |
|
574 |
560 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
49 |
$5K |
| 99441 |
|
112 |
91 |
$2K |
| 99386 |
|
12 |
12 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
44 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
48 |
$963.23 |
| V5008 |
Hearing screening |
19 |
19 |
$453.45 |
| 99000 |
|
476 |
401 |
$331.27 |
| 96127 |
|
48 |
48 |
$294.55 |
| 90686 |
|
81 |
81 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90658 |
|
68 |
53 |
$0.00 |
| 99499 |
|
53 |
43 |
$0.00 |