| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,369 |
3,863 |
$229K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
743 |
733 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
642 |
641 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
523 |
523 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,583 |
1,579 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
163 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
793 |
793 |
$12K |
| G9007 |
Coordinated care fee, scheduled team conference |
48 |
48 |
$5K |
| 99460 |
|
45 |
45 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
80 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
217 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$615.01 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$534.79 |
| 90670 |
|
197 |
197 |
$0.00 |
| 90698 |
|
78 |
78 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 91307 |
|
21 |
17 |
$0.00 |
| 90680 |
|
39 |
39 |
$0.00 |
| 90686 |
|
49 |
49 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |