| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,726 |
7,282 |
$557K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,195 |
9,438 |
$555K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
856 |
808 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
699 |
696 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
526 |
525 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
376 |
376 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
219 |
217 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
157 |
$13K |
| 90688 |
|
865 |
855 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,268 |
1,244 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,331 |
1,119 |
$10K |
| 87428 |
|
292 |
287 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
131 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
565 |
562 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
102 |
95 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
216 |
$3K |
| 0003A |
|
68 |
68 |
$2K |
| 0124A |
|
75 |
75 |
$2K |
| 81000 |
|
263 |
242 |
$686.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
48 |
$583.70 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$387.48 |
| 98966 |
|
28 |
25 |
$98.34 |
| 90662 |
|
13 |
13 |
$69.94 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
52 |
36 |
$43.24 |
| G0008 |
Administration of influenza virus vaccine |
68 |
67 |
$14.00 |
| 81002 |
|
12 |
12 |
$11.00 |