| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,670 |
10,007 |
$623K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,120 |
1,086 |
$85K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,021 |
2,911 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
950 |
919 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,671 |
2,250 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
535 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
571 |
488 |
$37K |
| 92587 |
|
6,071 |
5,926 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,280 |
7,699 |
$25K |
| 99177 |
|
6,060 |
5,933 |
$23K |
| 90688 |
|
1,500 |
1,482 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
220 |
216 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,801 |
1,760 |
$15K |
| 90651 |
|
254 |
236 |
$13K |
| 90686 |
|
984 |
974 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
368 |
336 |
$11K |
| 90461 |
|
2,103 |
1,741 |
$8K |
| 96127 |
|
1,438 |
1,409 |
$7K |
| 90670 |
|
159 |
150 |
$6K |
| 0071A |
|
109 |
109 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
305 |
296 |
$4K |
| 0072A |
|
101 |
101 |
$4K |
| 90677 |
|
67 |
65 |
$4K |
| 90656 |
|
229 |
229 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
502 |
482 |
$3K |
| 3008F |
|
3,240 |
3,126 |
$3K |
| 90685 |
|
220 |
209 |
$3K |
| 97802 |
|
1,124 |
1,071 |
$2K |
| 90480 |
|
152 |
136 |
$2K |
| 90698 |
|
71 |
67 |
$2K |
| 90680 |
|
69 |
63 |
$2K |
| 90619 |
|
18 |
18 |
$2K |
| 90697 |
|
27 |
24 |
$1K |
| 90716 |
|
38 |
38 |
$1K |
| 0001A |
|
30 |
30 |
$1K |
| 90633 |
|
80 |
79 |
$1K |
| 0002A |
|
29 |
29 |
$1K |
| 91321 |
|
58 |
57 |
$1K |
| 90707 |
|
39 |
39 |
$878.59 |
| 99000 |
|
299 |
294 |
$739.77 |
| 90621 |
|
13 |
13 |
$582.05 |
| 0112A |
|
17 |
17 |
$581.84 |
| 0111A |
|
13 |
13 |
$501.71 |
| 90734 |
|
14 |
14 |
$401.54 |
| 81002 |
|
93 |
90 |
$269.38 |
| 83718 |
|
30 |
30 |
$257.60 |
| 90715 |
|
14 |
14 |
$251.68 |
| 90744 |
|
13 |
13 |
$201.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
252 |
252 |
$192.98 |
| 96161 |
|
149 |
134 |
$143.51 |
| 82465 |
|
30 |
30 |
$140.84 |
| 99072 |
|
3,200 |
2,969 |
$140.00 |
| 86580 |
|
15 |
15 |
$132.00 |
| 85018 |
|
67 |
58 |
$126.88 |
| 36416 |
|
280 |
263 |
$86.45 |
| 99051 |
|
12 |
12 |
$30.00 |
| 96160 |
|
12 |
12 |
$11.35 |
| 91300 |
|
50 |
50 |
$0.37 |