| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,022 |
982 |
$46K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
198 |
198 |
$11K |
| 99441 |
|
191 |
165 |
$3K |
| 90688 |
|
112 |
110 |
$2K |
| 96127 |
|
418 |
418 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
112 |
$577.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
41 |
$153.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |