| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,200 |
4,760 |
$185K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,332 |
1,303 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,190 |
1,160 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,068 |
1,026 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
644 |
626 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
616 |
592 |
$43K |
| 90670 |
|
566 |
566 |
$8K |
| 99173 |
|
2,499 |
2,440 |
$7K |
| 92551 |
|
2,407 |
2,355 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
486 |
476 |
$3K |
| 90686 |
|
317 |
315 |
$3K |
| 90688 |
|
299 |
299 |
$3K |
| 90680 |
|
257 |
257 |
$3K |
| 90698 |
|
224 |
224 |
$2K |
| 90633 |
|
229 |
229 |
$2K |
| 90697 |
|
175 |
175 |
$2K |
| 90619 |
|
127 |
126 |
$1K |
| 96161 |
|
277 |
277 |
$1K |
| 96160 |
|
1,098 |
1,069 |
$927.64 |
| 90715 |
|
80 |
79 |
$854.29 |
| 90744 |
|
37 |
37 |
$406.00 |
| 90710 |
|
39 |
39 |
$396.00 |
| 90696 |
|
38 |
38 |
$374.00 |
| 90651 |
|
36 |
36 |
$330.00 |
| 96127 |
|
750 |
722 |
$321.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
708 |
696 |
$202.77 |
| 90734 |
|
13 |
13 |
$132.00 |
| 81002 |
|
13 |
13 |
$46.80 |
| 80061 |
Lipid panel |
383 |
371 |
$5.00 |
| 83655 |
|
174 |
174 |
$0.00 |
| 86703 |
|
137 |
133 |
$0.00 |