| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,678 |
6,602 |
$858K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,272 |
8,086 |
$665K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,833 |
2,775 |
$396K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,371 |
2,292 |
$283K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,023 |
1,996 |
$228K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,544 |
7,230 |
$209K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,108 |
1,102 |
$130K |
| 90670 |
|
1,759 |
1,724 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,046 |
2,467 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,835 |
1,775 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,304 |
3,953 |
$21K |
| 90461 |
|
3,181 |
3,113 |
$11K |
| 99381 |
|
89 |
77 |
$8K |
| 90716 |
|
1,118 |
1,105 |
$4K |
| 90651 |
|
367 |
356 |
$3K |
| 90700 |
|
2,656 |
2,606 |
$2K |
| 90686 |
|
3,015 |
2,906 |
$2K |
| 99383 |
|
14 |
14 |
$1K |
| 90707 |
|
859 |
849 |
$1K |
| 90620 |
|
114 |
113 |
$728.72 |
| 90633 |
|
1,316 |
1,293 |
$699.88 |
| 90713 |
|
2,239 |
2,187 |
$604.77 |
| 90710 |
|
16 |
16 |
$601.37 |
| 90680 |
|
1,466 |
1,447 |
$529.68 |
| 90619 |
|
137 |
128 |
$344.84 |
| 90648 |
|
2,059 |
2,023 |
$236.43 |
| 90744 |
|
996 |
983 |
$218.77 |
| 90656 |
|
256 |
249 |
$196.37 |
| 90685 |
|
258 |
216 |
$78.02 |
| 92567 |
|
584 |
544 |
$40.92 |
| 99050 |
|
63 |
62 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |
| 90671 |
|
305 |
300 |
$0.00 |
| 90734 |
|
131 |
131 |
$0.00 |
| 90715 |
|
75 |
70 |
$0.00 |