| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,208 |
2,606 |
$175K |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,530 |
5,114 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
677 |
554 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
609 |
572 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
417 |
$39K |
| 87428 |
|
1,064 |
852 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,490 |
1,349 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
919 |
837 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
165 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,142 |
938 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
102 |
$6K |
| 99382 |
|
37 |
29 |
$3K |
| 87807 |
|
412 |
327 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$2K |
| 99381 |
|
27 |
27 |
$2K |
| 99383 |
|
28 |
27 |
$1K |
| 81003 |
|
576 |
505 |
$883.20 |
| 90670 |
|
287 |
267 |
$446.04 |
| 92551 |
|
35 |
35 |
$272.49 |
| 90686 |
|
463 |
388 |
$212.52 |
| 90474 |
|
13 |
13 |
$193.50 |
| 85018 |
|
24 |
24 |
$46.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
28 |
$18.14 |
| 3074F |
|
303 |
275 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |
| 3078F |
|
294 |
268 |
$0.00 |
| 90633 |
|
51 |
41 |
$0.00 |
| 90671 |
|
62 |
57 |
$0.00 |