| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,150 |
4,678 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,583 |
2,415 |
$168K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,327 |
2,709 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
640 |
626 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
982 |
904 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
398 |
391 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,764 |
1,594 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
316 |
302 |
$20K |
| 87081 |
|
1,183 |
1,091 |
$7K |
| 99050 |
|
347 |
324 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
164 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
61 |
$3K |
| D1206 |
Topical application of fluoride varnish |
167 |
160 |
$2K |
| 99441 |
|
102 |
92 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$941.10 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,551 |
1,530 |
$895.59 |
| 90473 |
|
80 |
79 |
$880.63 |
| 92552 |
|
73 |
71 |
$841.32 |
| 90686 |
|
659 |
632 |
$766.06 |
| 92551 |
|
108 |
104 |
$660.22 |
| 81002 |
|
238 |
223 |
$605.12 |
| 99442 |
|
17 |
15 |
$372.89 |
| 99241 |
|
14 |
14 |
$353.78 |
| 99173 |
|
176 |
160 |
$333.33 |
| 99188 |
|
12 |
12 |
$186.45 |
| 90672 |
|
217 |
205 |
$83.32 |
| 96160 |
|
12 |
12 |
$17.83 |
| 90685 |
|
28 |
26 |
$0.00 |
| 90670 |
|
30 |
26 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 99000 |
|
519 |
492 |
$0.00 |