| Code | Description | Claims | Beneficiaries | Total Paid |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,899 |
3,852 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,385 |
8,872 |
$345K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,694 |
2,618 |
$201K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,074 |
2,048 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,507 |
2,407 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
667 |
652 |
$59K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,672 |
2,544 |
$25K |
| 90686 |
|
2,383 |
2,366 |
$23K |
| 90670 |
|
1,284 |
1,275 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
430 |
406 |
$11K |
| 90723 |
|
946 |
936 |
$9K |
| 90647 |
|
851 |
843 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
491 |
466 |
$6K |
| 90680 |
|
684 |
675 |
$6K |
| 90677 |
|
386 |
376 |
$4K |
| 90656 |
|
406 |
406 |
$3K |
| 90633 |
|
250 |
250 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
16 |
$2K |
| 90651 |
|
114 |
114 |
$1K |
| 90734 |
|
102 |
100 |
$643.10 |
| 90700 |
|
56 |
56 |
$594.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
77 |
$565.28 |
| 92551 |
|
924 |
918 |
$474.36 |
| 90716 |
|
46 |
46 |
$468.90 |
| 90707 |
|
45 |
45 |
$457.40 |
| 90710 |
|
58 |
57 |
$312.60 |
| 99173 |
|
896 |
889 |
$307.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$270.20 |
| 90715 |
|
56 |
56 |
$228.40 |
| 90696 |
|
31 |
31 |
$177.50 |
| 83655 |
|
810 |
805 |
$167.43 |
| 90648 |
|
12 |
12 |
$126.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
180 |
175 |
$96.48 |
| 96127 |
|
53 |
52 |
$17.92 |
| 85018 |
|
28 |
28 |
$9.28 |
| 96160 |
|
12 |
12 |
$0.00 |