| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,325 |
1,941 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,312 |
1,174 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,041 |
937 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
557 |
521 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,131 |
1,022 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,473 |
1,335 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
69 |
$2K |
| 96161 |
|
85 |
77 |
$2K |
| 96127 |
|
186 |
173 |
$695.43 |
| 81002 |
|
265 |
161 |
$576.14 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
139 |
$378.24 |
| 87210 |
|
38 |
29 |
$86.82 |
| 90670 |
|
522 |
472 |
$0.00 |
| 0502F |
|
2,169 |
1,123 |
$0.00 |
| 90648 |
|
406 |
374 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 90680 |
|
62 |
62 |
$0.00 |
| 90723 |
|
187 |
169 |
$0.00 |
| 90697 |
|
56 |
53 |
$0.00 |
| 90686 |
|
18 |
14 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |