| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,629 |
3,315 |
$172K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,066 |
1,779 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,628 |
1,445 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
816 |
737 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
687 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
302 |
279 |
$26K |
| 90723 |
|
1,160 |
1,002 |
$16K |
| 90647 |
|
1,013 |
904 |
$14K |
| 90670 |
|
1,123 |
956 |
$14K |
| 90686 |
|
854 |
803 |
$10K |
| 90633 |
|
616 |
520 |
$9K |
| 90677 |
|
406 |
384 |
$8K |
| 90681 |
|
444 |
379 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
54 |
$3K |
| 90734 |
|
116 |
98 |
$2K |
| 90656 |
|
103 |
102 |
$2K |
| 99460 |
|
21 |
17 |
$1K |
| 99174 |
|
114 |
110 |
$827.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$769.50 |
| 90710 |
|
52 |
51 |
$724.58 |
| 90700 |
|
39 |
38 |
$651.69 |
| 90696 |
|
34 |
24 |
$526.64 |
| 90716 |
|
28 |
28 |
$467.88 |
| 90651 |
|
27 |
27 |
$451.17 |
| 90707 |
|
27 |
27 |
$451.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$392.50 |
| 90381 |
|
14 |
13 |
$233.94 |
| 90715 |
|
12 |
12 |
$200.52 |