| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,504 |
10,418 |
$420K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,947 |
3,526 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,329 |
1,302 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
985 |
916 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
695 |
681 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,686 |
1,650 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
257 |
253 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
256 |
$15K |
| 99188 |
|
199 |
193 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$2K |
| 81002 |
|
1,651 |
1,608 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
175 |
171 |
$970.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,137 |
1,808 |
$673.29 |
| 97803 |
|
854 |
847 |
$115.51 |
| 99173 |
|
1,167 |
985 |
$14.60 |
| 92551 |
|
1,233 |
1,038 |
$0.00 |
| 92587 |
|
25 |
24 |
$0.00 |
| 92567 |
|
43 |
39 |
$0.00 |
| 99174 |
|
32 |
29 |
$0.00 |
| 90670 |
|
69 |
65 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| 90649 |
|
17 |
15 |
$0.00 |
| 90671 |
|
27 |
27 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |