| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,371 |
11,857 |
$787K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,745 |
2,658 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,859 |
4,282 |
$229K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,305 |
2,223 |
$184K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,816 |
1,718 |
$145K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,471 |
1,417 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,806 |
3,588 |
$16K |
| 90649 |
|
434 |
383 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,589 |
2,354 |
$10K |
| 90474 |
|
1,895 |
1,790 |
$8K |
| 99381 |
|
109 |
82 |
$5K |
| 99382 |
|
38 |
37 |
$3K |
| 90670 |
|
1,080 |
1,022 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90716 |
|
336 |
321 |
$960.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,870 |
4,331 |
$631.39 |
| 90707 |
|
263 |
257 |
$450.00 |
| 90633 |
|
438 |
408 |
$390.00 |
| 90723 |
|
641 |
613 |
$222.73 |
| 90734 |
|
229 |
219 |
$148.77 |
| 90696 |
|
42 |
41 |
$112.36 |
| 90681 |
|
177 |
169 |
$108.76 |
| 90648 |
|
950 |
897 |
$98.69 |
| 90700 |
|
34 |
27 |
$55.80 |
| 97802 |
|
3,929 |
3,724 |
$21.03 |
| 90715 |
|
78 |
73 |
$0.00 |
| 90658 |
|
238 |
223 |
$0.00 |
| 90620 |
|
47 |
45 |
$0.00 |