| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,000 |
19,171 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,672 |
3,935 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,979 |
2,414 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,717 |
3,366 |
$811.75 |
| 92552 |
|
7,154 |
6,313 |
$799.48 |
| 90648 |
|
3,322 |
2,771 |
$544.50 |
| 90670 |
|
3,402 |
2,804 |
$514.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,909 |
2,017 |
$383.94 |
| 90723 |
|
1,397 |
1,109 |
$287.10 |
| 90702 |
|
365 |
215 |
$230.68 |
| 90716 |
|
1,992 |
1,721 |
$227.70 |
| 90707 |
|
1,925 |
1,651 |
$227.70 |
| 90681 |
|
1,018 |
798 |
$217.80 |
| 85018 |
|
11,020 |
9,647 |
$207.92 |
| 90633 |
|
1,571 |
1,331 |
$188.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,318 |
2,104 |
$150.57 |
| 83655 |
|
526 |
374 |
$127.27 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,261 |
1,144 |
$119.42 |
| 90696 |
|
709 |
577 |
$118.80 |
| 99173 |
|
3,466 |
2,650 |
$110.44 |
| 90700 |
|
1,114 |
1,017 |
$99.00 |
| 81002 |
|
2,700 |
1,994 |
$86.58 |
| 94760 |
|
694 |
554 |
$85.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,830 |
3,477 |
$60.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,259 |
1,001 |
$54.75 |
| 90713 |
|
460 |
351 |
$29.70 |
| 90649 |
|
268 |
215 |
$19.80 |
| 90656 |
|
1,152 |
1,148 |
$9.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,219 |
3,782 |
$0.00 |
| 90686 |
|
175 |
173 |
$0.00 |
| 86580 |
|
162 |
109 |
$0.00 |
| 99460 |
|
13 |
13 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,718 |
2,532 |
$0.00 |
| 90655 |
|
202 |
182 |
$0.00 |
| 90715 |
|
246 |
195 |
$0.00 |
| 99188 |
|
144 |
105 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$0.00 |