| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,702 |
3,885 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,623 |
1,591 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,897 |
1,619 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
991 |
566 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,075 |
4,134 |
$15K |
| 90648 |
|
1,802 |
1,078 |
$8K |
| 90670 |
|
1,831 |
1,086 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
471 |
275 |
$7K |
| 99460 |
|
193 |
112 |
$5K |
| 90685 |
|
1,035 |
628 |
$5K |
| 90723 |
|
1,255 |
731 |
$4K |
| 90686 |
|
894 |
559 |
$3K |
| 90633 |
|
694 |
391 |
$3K |
| 92551 |
|
1,313 |
759 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
66 |
45 |
$2K |
| 90710 |
|
346 |
195 |
$1K |
| 90680 |
|
883 |
504 |
$1K |
| 90681 |
|
101 |
70 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
331 |
189 |
$722.70 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
12 |
$702.54 |
| 99173 |
|
1,329 |
749 |
$624.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
42 |
$618.52 |
| 99462 |
|
18 |
13 |
$379.89 |
| 96127 |
|
203 |
140 |
$230.79 |
| 90700 |
|
89 |
52 |
$186.24 |
| 90651 |
|
18 |
12 |
$93.12 |
| 99072 |
|
74 |
67 |
$0.00 |