| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,727 |
3,280 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
868 |
773 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
769 |
726 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
675 |
597 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
326 |
308 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
284 |
$23K |
| 96127 |
|
765 |
698 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
334 |
256 |
$7K |
| 92551 |
|
217 |
199 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
28 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
43 |
$1K |
| 99173 |
|
26 |
26 |
$186.62 |
| 85018 |
|
73 |
57 |
$169.36 |
| 3074F |
|
156 |
153 |
$0.00 |
| 3008F |
|
232 |
198 |
$0.00 |
| 3078F |
|
154 |
151 |
$0.00 |