| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,071 |
7,770 |
$531K |
| 99199 |
Unlisted special service, procedure or report |
100,743 |
50,242 |
$522K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,460 |
915 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
417 |
323 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
384 |
309 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
261 |
238 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
329 |
243 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
846 |
709 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
727 |
543 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
731 |
644 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
143 |
130 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
177 |
149 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
78 |
59 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
111 |
85 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
77 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
26 |
$3K |
| 92551 |
|
622 |
497 |
$1K |
| 99173 |
|
1,296 |
1,026 |
$824.55 |
| 90686 |
|
174 |
126 |
$213.93 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
478 |
391 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
124 |
92 |
$0.00 |