| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,347 |
1,267 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
305 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
227 |
219 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
178 |
178 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
52 |
52 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
181 |
178 |
$9K |
| 93000 |
|
104 |
103 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$2K |
| 99243 |
|
14 |
14 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 93325 |
|
12 |
12 |
$765.51 |
| 92552 |
|
13 |
12 |
$351.80 |
| 94664 |
|
38 |
38 |
$174.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$139.85 |
| 94760 |
|
30 |
29 |
$41.81 |