| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,847 |
3,606 |
$220K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,077 |
835 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
580 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
693 |
577 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,533 |
1,222 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,770 |
1,534 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
276 |
$25K |
| 92551 |
|
1,448 |
1,269 |
$22K |
| 92015 |
Determination of refractive state |
977 |
845 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
176 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
453 |
423 |
$14K |
| 96127 |
|
918 |
837 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
810 |
761 |
$13K |
| 90670 |
|
459 |
410 |
$11K |
| 96160 |
|
703 |
610 |
$10K |
| 36416 |
|
1,559 |
1,314 |
$6K |
| 90686 |
|
597 |
484 |
$5K |
| 85018 |
|
1,907 |
1,643 |
$5K |
| 85014 |
|
1,607 |
1,359 |
$4K |
| 90716 |
|
158 |
130 |
$4K |
| 81002 |
|
1,419 |
1,238 |
$4K |
| 83655 |
|
262 |
216 |
$3K |
| 90633 |
|
232 |
202 |
$3K |
| 90680 |
|
257 |
236 |
$2K |
| 90734 |
|
55 |
38 |
$2K |
| 90698 |
|
131 |
110 |
$1K |
| 90707 |
|
99 |
67 |
$1K |
| 90700 |
|
93 |
79 |
$1K |
| 90685 |
|
50 |
30 |
$566.48 |
| 90648 |
|
82 |
69 |
$521.75 |
| 90744 |
|
44 |
42 |
$335.18 |
| 69210 |
|
13 |
12 |
$278.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$154.56 |
| 90713 |
|
15 |
12 |
$143.86 |