| Code | Description | Claims | Beneficiaries | Total Paid |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,243 |
1,952 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,793 |
3,074 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,158 |
1,811 |
$164K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,997 |
1,591 |
$145K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,101 |
948 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,818 |
2,374 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,183 |
3,490 |
$33K |
| 99460 |
|
407 |
373 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
521 |
466 |
$24K |
| 83655 |
|
1,048 |
873 |
$11K |
| 54150 |
|
74 |
72 |
$8K |
| 99383 |
|
37 |
37 |
$4K |
| 85018 |
|
903 |
769 |
$2K |
| 90733 |
|
389 |
349 |
$1K |
| 99462 |
|
30 |
26 |
$910.11 |
| 90715 |
|
396 |
360 |
$454.48 |
| 90670 |
|
1,318 |
1,197 |
$383.95 |
| 90710 |
|
798 |
701 |
$210.72 |
| 90686 |
|
456 |
339 |
$206.52 |
| 90680 |
|
931 |
836 |
$176.34 |
| 90620 |
|
302 |
275 |
$144.37 |
| 90633 |
|
923 |
807 |
$135.13 |
| 90647 |
|
713 |
643 |
$27.66 |
| 90658 |
|
297 |
261 |
$15.92 |
| 90698 |
|
597 |
540 |
$0.96 |
| 90723 |
|
731 |
659 |
$0.92 |
| 90696 |
|
248 |
223 |
$0.71 |
| 90657 |
|
159 |
143 |
$0.41 |