| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,359 |
3,240 |
$317K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
693 |
$130K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
944 |
927 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
717 |
703 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,113 |
601 |
$37K |
| 99051 |
|
1,497 |
1,453 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
221 |
221 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
242 |
242 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
563 |
560 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
117 |
117 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
581 |
579 |
$12K |
| 90461 |
|
586 |
193 |
$10K |
| 96127 |
|
499 |
499 |
$9K |
| 87081 |
|
490 |
487 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
161 |
161 |
$4K |
| 98966 |
|
187 |
182 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
29 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
70 |
$2K |
| 99442 |
|
12 |
12 |
$377.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$374.37 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$370.68 |
| 99441 |
|
22 |
22 |
$357.72 |
| 85027 |
|
13 |
13 |
$199.42 |