| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,428 |
6,928 |
$489K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,425 |
4,254 |
$422K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,119 |
1,118 |
$107K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,083 |
1,083 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
850 |
850 |
$86K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,576 |
4,525 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
823 |
760 |
$72K |
| 92551 |
|
4,185 |
4,182 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,453 |
1,449 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
989 |
784 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,118 |
1,099 |
$13K |
| 99188 |
|
776 |
776 |
$12K |
| 96127 |
|
1,464 |
1,453 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
141 |
$4K |
| 99173 |
|
2,184 |
2,183 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
33 |
$1K |
| 69210 |
|
25 |
25 |
$1K |
| 0072A |
|
25 |
25 |
$1K |
| 0071A |
|
28 |
28 |
$955.00 |
| 90461 |
|
37 |
33 |
$743.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
46 |
$715.02 |
| 96160 |
|
348 |
348 |
$689.13 |
| 83655 |
|
52 |
52 |
$672.69 |
| 99050 |
|
36 |
35 |
$530.50 |
| 96161 |
|
82 |
79 |
$230.27 |
| 99441 |
|
15 |
15 |
$221.93 |
| 85018 |
|
13 |
13 |
$30.03 |
| 90619 |
|
14 |
14 |
$12.00 |
| 94760 |
|
99 |
96 |
$1.61 |
| 90686 |
|
83 |
82 |
$0.00 |