| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,076 |
21,339 |
$1.71M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,464 |
3,318 |
$490K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,212 |
2,151 |
$342K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,248 |
3,139 |
$342K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,954 |
1,885 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,465 |
7,085 |
$40K |
| 99381 |
|
200 |
196 |
$24K |
| 99383 |
|
144 |
144 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
136 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,836 |
1,696 |
$14K |
| 99188 |
|
3,058 |
2,925 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,844 |
1,463 |
$11K |
| 99051 |
|
2,843 |
2,659 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,269 |
2,109 |
$6K |
| 90670 |
|
1,570 |
1,517 |
$6K |
| 90461 |
|
3,333 |
3,171 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
45 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
78 |
$4K |
| 90686 |
|
1,505 |
1,429 |
$3K |
| 99382 |
|
17 |
17 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 90710 |
|
329 |
319 |
$2K |
| 90672 |
|
76 |
69 |
$402.63 |
| 85018 |
|
1,264 |
1,191 |
$381.32 |
| 90715 |
|
213 |
207 |
$165.56 |
| 90696 |
|
266 |
257 |
$161.71 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
78 |
$148.40 |
| 90633 |
|
845 |
796 |
$131.89 |
| 90698 |
|
1,145 |
1,117 |
$126.06 |
| 81025 |
|
24 |
24 |
$78.60 |
| H0049 |
Alcohol and/or drug screening |
27 |
27 |
$71.04 |
| 90744 |
|
592 |
556 |
$48.02 |
| 90651 |
|
693 |
670 |
$48.02 |
| 90680 |
|
967 |
947 |
$40.59 |
| 81003 |
|
45 |
41 |
$39.11 |
| 90707 |
|
75 |
64 |
$20.00 |
| 99050 |
|
96 |
96 |
$11.72 |
| 81000 |
|
24 |
24 |
$0.00 |
| 90716 |
|
74 |
63 |
$0.00 |
| 90619 |
|
36 |
27 |
$0.00 |
| 90734 |
|
513 |
502 |
$0.00 |
| 90621 |
|
259 |
244 |
$0.00 |
| 90700 |
|
150 |
139 |
$0.00 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
133 |
124 |
$0.00 |
| 90648 |
|
47 |
38 |
$0.00 |