| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,602 |
4,214 |
$420K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,040 |
1,605 |
$220K |
| 99401 |
|
1,078 |
1,019 |
$37K |
| 69210 |
|
415 |
356 |
$21K |
| 96127 |
|
2,359 |
1,122 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,196 |
768 |
$15K |
| 99215 |
Prolong outpt/office vis |
89 |
75 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,228 |
1,088 |
$14K |
| 92551 |
|
1,018 |
970 |
$11K |
| 90686 |
|
526 |
521 |
$11K |
| 36416 |
|
1,462 |
1,392 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 85018 |
|
1,510 |
1,446 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
130 |
106 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
50 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 87631 |
|
12 |
12 |
$1K |
| 99188 |
|
100 |
100 |
$1K |
| 99173 |
|
390 |
379 |
$1K |
| 94664 |
|
32 |
30 |
$696.68 |
| 36415 |
Collection of venous blood by venipuncture |
252 |
233 |
$605.43 |
| 99058 |
|
12 |
12 |
$554.40 |
| 0071A |
|
12 |
12 |
$440.00 |
| 99177 |
|
37 |
37 |
$345.00 |
| 91300 |
|
16 |
12 |
$0.00 |
| 91307 |
|
35 |
31 |
$0.00 |