| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,387 |
17,628 |
$755K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,971 |
9,600 |
$498K |
| 59514 |
|
384 |
379 |
$57K |
| 59025 |
Fetal non-stress test |
1,345 |
1,027 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
476 |
451 |
$46K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
611 |
582 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,451 |
1,412 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
116 |
$12K |
| 99442 |
|
265 |
255 |
$10K |
| 90686 |
|
733 |
729 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
82 |
$9K |
| 90674 |
|
318 |
313 |
$8K |
| 90677 |
|
104 |
104 |
$6K |
| 81025 |
|
579 |
572 |
$5K |
| 90715 |
|
103 |
103 |
$4K |
| 90670 |
|
102 |
101 |
$3K |
| 96127 |
|
213 |
207 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90656 |
|
81 |
80 |
$926.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$911.27 |
| 98929 |
|
16 |
14 |
$810.84 |
| 90697 |
|
36 |
36 |
$504.00 |
| 99441 |
|
13 |
12 |
$436.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
41 |
$359.03 |
| 90647 |
|
32 |
32 |
$305.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
26 |
$288.92 |
| 98967 |
|
15 |
13 |
$269.98 |
| 90723 |
|
28 |
27 |
$257.58 |
| 99173 |
|
72 |
71 |
$139.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$106.78 |
| 90680 |
|
12 |
12 |
$31.44 |
| 99072 |
|
1,337 |
1,288 |
$0.00 |
| 1159F |
|
421 |
413 |
$0.00 |
| 3078F |
|
127 |
125 |
$0.00 |
| 1160F |
|
111 |
106 |
$0.00 |
| 3074F |
|
116 |
114 |
$0.00 |
| 3044F |
|
55 |
49 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |