| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
860 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
117 |
104 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
124 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
81 |
$6K |
| 92552 |
|
198 |
191 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
344 |
312 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
53 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
17 |
$1K |
| 90670 |
|
61 |
58 |
$973.65 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
63 |
$911.82 |
| 90656 |
|
42 |
42 |
$848.40 |
| 99173 |
|
235 |
229 |
$576.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
751 |
312 |
$546.17 |
| 81003 |
|
185 |
176 |
$473.79 |
| 90461 |
|
167 |
132 |
$322.45 |
| 90657 |
|
13 |
12 |
$164.76 |
| 90648 |
|
17 |
14 |
$164.49 |
| 90651 |
|
15 |
13 |
$149.60 |
| 90734 |
|
14 |
12 |
$137.50 |
| 90723 |
|
13 |
12 |
$135.85 |
| 90707 |
|
13 |
12 |
$135.85 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
24 |
$66.00 |
| 81002 |
|
16 |
16 |
$49.76 |