| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,793 |
4,735 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,622 |
2,436 |
$125K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,373 |
1,236 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,942 |
1,688 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,951 |
2,792 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
478 |
470 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
474 |
469 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,732 |
839 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,796 |
2,527 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
124 |
$8K |
| 81002 |
|
1,798 |
1,670 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$2K |
| 96160 |
|
577 |
572 |
$821.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
64 |
$591.71 |
| 99000 |
|
15 |
15 |
$139.16 |