| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,665 |
5,006 |
$211K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,079 |
998 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
791 |
775 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
412 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
339 |
334 |
$22K |
| 92551 |
|
581 |
568 |
$14K |
| 90698 |
|
447 |
443 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
132 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
320 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
430 |
422 |
$6K |
| 90710 |
|
246 |
241 |
$5K |
| 90670 |
|
882 |
867 |
$5K |
| 69210 |
|
143 |
136 |
$4K |
| 90723 |
|
145 |
143 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
206 |
192 |
$3K |
| 90680 |
|
611 |
599 |
$3K |
| 90686 |
|
429 |
410 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
56 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
104 |
104 |
$1K |
| 90461 |
|
59 |
59 |
$1K |
| 83655 |
|
117 |
109 |
$1K |
| 90696 |
|
56 |
56 |
$1K |
| 90648 |
|
208 |
206 |
$1K |
| 69209 |
|
117 |
114 |
$1K |
| 90744 |
|
159 |
159 |
$820.37 |
| 90633 |
|
164 |
158 |
$814.89 |
| 99460 |
|
12 |
12 |
$758.88 |
| 85018 |
|
269 |
259 |
$580.66 |
| 99188 |
|
38 |
38 |
$524.24 |
| 90685 |
|
100 |
97 |
$490.90 |
| 99051 |
|
46 |
46 |
$489.64 |
| 90715 |
|
15 |
15 |
$233.85 |
| 99173 |
|
26 |
26 |
$227.50 |
| 90734 |
|
39 |
39 |
$204.75 |
| 81003 |
|
96 |
90 |
$184.16 |
| 90651 |
|
29 |
29 |
$154.51 |
| 90647 |
|
26 |
18 |
$94.65 |
| 90656 |
|
18 |
17 |
$90.95 |
| 81002 |
|
15 |
15 |
$41.70 |