| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
826 |
769 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
105 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
99 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
70 |
$6K |
| 90716 |
|
61 |
59 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
36 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186 |
184 |
$1K |
| 90686 |
|
107 |
106 |
$1K |
| 85018 |
|
441 |
438 |
$1K |
| 90670 |
|
35 |
35 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
68 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
16 |
$1K |
| 90707 |
|
59 |
57 |
$1K |
| 99173 |
|
377 |
369 |
$941.58 |
| 81003 |
|
286 |
280 |
$703.95 |
| 90698 |
|
16 |
16 |
$510.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$478.10 |
| 90715 |
|
27 |
27 |
$452.68 |
| 90696 |
|
17 |
17 |
$306.99 |
| 92551 |
|
21 |
21 |
$220.33 |
| 36416 |
|
410 |
403 |
$214.79 |
| 90633 |
|
13 |
12 |
$177.26 |
| 90649 |
|
12 |
12 |
$121.00 |
| 94760 |
|
71 |
71 |
$52.07 |