| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,179 |
6,833 |
$396K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,179 |
4,999 |
$259K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,455 |
1,451 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
832 |
830 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
586 |
586 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
860 |
840 |
$39K |
| 92551 |
|
4,183 |
4,167 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,256 |
2,215 |
$30K |
| 96127 |
|
1,426 |
1,412 |
$9K |
| 99188 |
|
545 |
545 |
$8K |
| 90686 |
|
435 |
433 |
$5K |
| 99173 |
|
1,211 |
1,201 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
386 |
$4K |
| 3008F |
|
12,392 |
11,919 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,782 |
5,524 |
$2K |
| 96160 |
|
432 |
429 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
48 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
16 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
160 |
157 |
$1K |
| 69210 |
|
29 |
28 |
$985.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$292.08 |
| 97803 |
|
7,921 |
7,560 |
$143.58 |
| 99051 |
|
26 |
26 |
$15.50 |
| 94760 |
|
761 |
731 |
$1.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
287 |
286 |
$0.00 |