| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
1,128 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
935 |
881 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,424 |
1,394 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
694 |
685 |
$46K |
| 90698 |
|
644 |
636 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
239 |
238 |
$16K |
| 99051 |
|
515 |
504 |
$6K |
| 90670 |
|
650 |
642 |
$4K |
| 90686 |
|
429 |
427 |
$2K |
| 90680 |
|
408 |
403 |
$2K |
| 90710 |
|
88 |
88 |
$2K |
| 90744 |
|
283 |
282 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
55 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
52 |
$1K |
| 90633 |
|
213 |
209 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
80 |
$1K |
| 90685 |
|
136 |
136 |
$749.41 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$623.21 |
| 83655 |
|
41 |
41 |
$485.44 |
| 90696 |
|
13 |
13 |
$293.14 |
| 96161 |
|
56 |
56 |
$136.84 |
| 85018 |
|
12 |
12 |
$26.39 |