| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
531 |
432 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
97 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
101 |
$9K |
| 92551 |
|
392 |
299 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
68 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
144 |
$3K |
| 99173 |
|
333 |
310 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
25 |
$2K |
| 81002 |
|
150 |
127 |
$369.20 |
| 85018 |
|
153 |
129 |
$329.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$203.45 |
| 83655 |
|
16 |
16 |
$154.18 |
| 82962 |
|
138 |
124 |
$120.96 |