| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,761 |
12,508 |
$281K |
| 96156 |
|
7,438 |
7,269 |
$238K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,479 |
4,393 |
$207K |
| 92552 |
|
9,610 |
7,383 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,014 |
2,958 |
$126K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,565 |
1,543 |
$85K |
| 96151 |
|
1,907 |
1,890 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
859 |
826 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
791 |
768 |
$25K |
| 99173 |
|
6,385 |
3,350 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,957 |
2,912 |
$20K |
| 90686 |
|
1,666 |
1,666 |
$14K |
| 90670 |
|
714 |
710 |
$10K |
| 90461 |
|
1,099 |
818 |
$9K |
| 90698 |
|
705 |
701 |
$8K |
| 90710 |
|
262 |
262 |
$5K |
| 90694 |
|
162 |
162 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
93 |
$3K |
| 90651 |
|
182 |
182 |
$3K |
| 90680 |
|
243 |
239 |
$2K |
| 90672 |
|
254 |
254 |
$2K |
| 90633 |
|
242 |
241 |
$2K |
| 90619 |
|
38 |
38 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
26 |
$2K |
| 90685 |
|
173 |
172 |
$2K |
| 90744 |
|
161 |
159 |
$1K |
| 90734 |
|
57 |
57 |
$959.24 |
| 90656 |
|
198 |
198 |
$844.27 |
| 86580 |
|
116 |
114 |
$458.73 |
| 90715 |
|
36 |
36 |
$379.02 |
| 90660 |
|
49 |
49 |
$207.00 |
| 90696 |
|
13 |
13 |
$121.50 |
| 90473 |
|
16 |
16 |
$120.00 |
| 3511F |
|
248 |
245 |
$0.00 |
| 4293F |
|
271 |
268 |
$0.00 |
| 3008F |
|
471 |
466 |
$0.00 |