| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,479 |
1,275 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
254 |
200 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
105 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
50 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
75 |
70 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
30 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
339 |
283 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
66 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
29 |
$1K |
| 92551 |
|
54 |
45 |
$478.25 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
13 |
$268.20 |
| 96127 |
|
63 |
55 |
$258.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
14 |
$217.50 |
| 96161 |
|
20 |
12 |
$33.30 |