| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,520 |
2,224 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,386 |
2,854 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,763 |
2,468 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
140 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
763 |
685 |
$10K |
| 92551 |
|
1,062 |
1,010 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
109 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
95 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
309 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$2K |
| 99173 |
|
1,086 |
1,022 |
$2K |
| 99499 |
|
141 |
124 |
$1K |
| 90686 |
|
371 |
342 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
44 |
$666.49 |
| 36415 |
Collection of venous blood by venipuncture |
223 |
200 |
$439.77 |
| 81025 |
|
57 |
56 |
$315.50 |
| 99051 |
|
13 |
13 |
$175.80 |