| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,473 |
10,518 |
$505K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,081 |
5,774 |
$366K |
| 99051 |
|
2,211 |
2,142 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
461 |
451 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
506 |
503 |
$33K |
| 90686 |
|
1,572 |
1,562 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
223 |
222 |
$10K |
| 92551 |
|
918 |
908 |
$9K |
| 3074F |
|
494 |
478 |
$6K |
| 3079F |
|
508 |
493 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
151 |
$5K |
| 99173 |
|
762 |
752 |
$5K |
| 3078F |
|
446 |
427 |
$5K |
| 90651 |
|
328 |
327 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,565 |
3,432 |
$5K |
| 3077F |
|
344 |
327 |
$4K |
| 90715 |
|
294 |
292 |
$3K |
| 99499 |
|
199 |
182 |
$3K |
| 90670 |
|
383 |
383 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
67 |
$3K |
| 3075F |
|
283 |
275 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
177 |
169 |
$3K |
| 90734 |
|
285 |
284 |
$2K |
| 90648 |
|
351 |
351 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$2K |
| 3080F |
|
74 |
70 |
$1K |
| 90633 |
|
132 |
132 |
$820.00 |
| 81003 |
|
294 |
255 |
$743.36 |
| 90723 |
|
147 |
147 |
$700.00 |
| 99490 |
Ccm add 20min |
143 |
137 |
$674.43 |
| 90680 |
|
137 |
137 |
$640.00 |
| 96127 |
|
124 |
124 |
$539.40 |
| 90696 |
|
42 |
42 |
$410.00 |
| 99188 |
|
25 |
24 |
$405.00 |
| 90710 |
|
41 |
41 |
$400.00 |
| 90620 |
|
17 |
17 |
$170.00 |
| 93000 |
|
13 |
13 |
$148.97 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
17 |
$117.24 |
| 96160 |
|
15 |
15 |
$49.59 |
| 85018 |
|
14 |
14 |
$41.99 |
| 90461 |
|
14 |
14 |
$39.55 |
| 3725F |
|
496 |
489 |
$20.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$10.00 |
| 1159F |
|
11,516 |
10,328 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 3008F |
|
9,643 |
8,751 |
$0.00 |
| 1031F |
|
11,825 |
10,703 |
$0.00 |
| 3351F |
|
140 |
137 |
$0.00 |
| 36416 |
|
68 |
61 |
$0.00 |
| 3352F |
|
13 |
13 |
$0.00 |