| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,001 |
37,459 |
$3.55M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,849 |
6,351 |
$832K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,499 |
6,785 |
$716K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,404 |
3,139 |
$445K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,059 |
3,798 |
$438K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,338 |
12,484 |
$260K |
| 90461 |
|
6,252 |
5,580 |
$110K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,045 |
3,853 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,719 |
3,806 |
$56K |
| 99188 |
|
5,647 |
5,133 |
$46K |
| 99381 |
|
561 |
417 |
$39K |
| 99051 |
|
5,152 |
4,499 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,606 |
3,921 |
$20K |
| 90698 |
|
1,798 |
1,646 |
$18K |
| 99383 |
|
141 |
136 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
123 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
132 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
250 |
$14K |
| 90710 |
|
555 |
523 |
$9K |
| 90651 |
|
1,247 |
1,184 |
$7K |
| 99384 |
|
56 |
42 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
45 |
$5K |
| 90686 |
|
1,921 |
1,506 |
$5K |
| 90677 |
|
930 |
874 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$2K |
| 99382 |
|
14 |
14 |
$2K |
| 90734 |
|
273 |
235 |
$2K |
| 85018 |
|
1,771 |
1,707 |
$2K |
| 81025 |
|
301 |
255 |
$2K |
| 90674 |
|
779 |
648 |
$2K |
| 90670 |
|
1,573 |
1,413 |
$1K |
| 90715 |
|
474 |
447 |
$1K |
| 90633 |
|
1,162 |
1,124 |
$1K |
| 90680 |
|
1,354 |
1,230 |
$881.63 |
| 90696 |
|
495 |
464 |
$630.70 |
| 90660 |
|
48 |
47 |
$548.82 |
| 90744 |
|
1,150 |
1,085 |
$431.33 |
| 90619 |
|
724 |
693 |
$425.19 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
112 |
111 |
$405.23 |
| 90621 |
|
639 |
566 |
$283.82 |
| 81003 |
|
135 |
127 |
$263.76 |
| 90700 |
|
300 |
297 |
$103.28 |
| 96160 |
|
35 |
35 |
$98.34 |
| 99050 |
|
98 |
96 |
$94.81 |
| 90656 |
|
299 |
291 |
$84.49 |
| 81002 |
|
39 |
37 |
$48.50 |
| 82962 |
|
22 |
15 |
$32.94 |
| 90648 |
|
117 |
117 |
$13.15 |
| 90672 |
|
90 |
82 |
$1.53 |
| 90707 |
|
167 |
165 |
$0.00 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
163 |
81 |
$0.00 |
| 90716 |
|
211 |
209 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$0.00 |