| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,995 |
7,142 |
$578K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,942 |
120 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,560 |
4,003 |
$220K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
800 |
749 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
655 |
619 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,117 |
1,011 |
$21K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
97 |
89 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
171 |
$14K |
| 95115 |
|
1,545 |
645 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,490 |
2,364 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
33 |
$3K |
| 90461 |
|
76 |
64 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
53 |
$1K |
| 96127 |
|
164 |
159 |
$739.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
12 |
$734.82 |
| 90686 |
|
353 |
331 |
$537.18 |
| 82962 |
|
198 |
171 |
$494.00 |
| 81002 |
|
31 |
26 |
$53.44 |
| 99173 |
|
13 |
12 |
$40.90 |
| 90674 |
|
22 |
18 |
$28.46 |