| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,724 |
5,164 |
$164K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
880 |
877 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
654 |
654 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
582 |
562 |
$28K |
| 96156 |
|
329 |
326 |
$23K |
| 92551 |
|
2,095 |
2,086 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
466 |
457 |
$20K |
| 85018 |
|
2,723 |
2,716 |
$5K |
| 90656 |
|
521 |
521 |
$5K |
| 90670 |
|
269 |
263 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
146 |
144 |
$2K |
| 90698 |
|
217 |
214 |
$2K |
| 99173 |
|
373 |
366 |
$2K |
| 90716 |
|
179 |
176 |
$2K |
| 90707 |
|
166 |
163 |
$2K |
| 90651 |
|
149 |
148 |
$1K |
| 90680 |
|
110 |
108 |
$1K |
| 81000 |
|
455 |
453 |
$1K |
| 85999 |
|
269 |
269 |
$809.69 |
| 90700 |
|
66 |
64 |
$620.35 |
| 90744 |
|
63 |
63 |
$614.50 |
| 90713 |
|
53 |
51 |
$488.00 |
| 86580 |
|
40 |
38 |
$333.52 |
| 90633 |
|
37 |
37 |
$324.00 |
| 90734 |
|
27 |
27 |
$162.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
19 |
$138.83 |
| 90715 |
|
15 |
15 |
$135.00 |
| 90655 |
|
13 |
13 |
$117.00 |
| 90619 |
|
38 |
38 |
$87.00 |