| Code | Description | Claims | Beneficiaries | Total Paid |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,848 |
1,817 |
$165K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,425 |
1,392 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,497 |
2,367 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,105 |
1,070 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
944 |
897 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
505 |
493 |
$43K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,298 |
1,223 |
$13K |
| 90686 |
|
1,164 |
1,150 |
$10K |
| 90670 |
|
480 |
476 |
$5K |
| 90647 |
|
358 |
353 |
$4K |
| 90723 |
|
255 |
252 |
$3K |
| 90680 |
|
188 |
185 |
$2K |
| 90656 |
|
185 |
185 |
$2K |
| 90633 |
|
192 |
190 |
$2K |
| 90677 |
|
164 |
164 |
$2K |
| 92551 |
|
1,657 |
1,639 |
$451.03 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$273.50 |
| 99177 |
|
768 |
756 |
$154.79 |
| 90696 |
|
14 |
14 |
$143.90 |
| 90710 |
|
14 |
14 |
$143.90 |
| 90700 |
|
13 |
12 |
$139.31 |
| 90734 |
|
13 |
13 |
$138.70 |
| 99173 |
|
394 |
394 |
$75.90 |
| 83655 |
|
293 |
291 |
$69.00 |
| 85018 |
|
13 |
13 |
$20.03 |
| 96127 |
|
62 |
62 |
$18.11 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
168 |
163 |
$16.08 |
| 80061 |
Lipid panel |
48 |
48 |
$0.00 |