| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,059 |
3,503 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,984 |
5,020 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,281 |
1,128 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,534 |
2,300 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
504 |
470 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
462 |
401 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
371 |
348 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,669 |
1,501 |
$23K |
| 96160 |
|
907 |
849 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
422 |
405 |
$12K |
| 90686 |
|
1,051 |
939 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
662 |
593 |
$8K |
| 90670 |
|
446 |
390 |
$6K |
| 90677 |
|
155 |
131 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
111 |
88 |
$3K |
| 90698 |
|
222 |
182 |
$3K |
| 90656 |
|
131 |
129 |
$2K |
| 90680 |
|
149 |
118 |
$2K |
| 90651 |
|
95 |
78 |
$2K |
| 90619 |
|
92 |
88 |
$1K |
| 83655 |
|
113 |
83 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
42 |
$1K |
| 90734 |
|
67 |
52 |
$967.59 |
| 99173 |
|
155 |
152 |
$864.20 |
| 90633 |
|
65 |
45 |
$784.78 |
| 87807 |
|
60 |
51 |
$570.41 |
| 85018 |
|
246 |
209 |
$502.28 |
| 90715 |
|
14 |
13 |
$177.90 |
| 90685 |
|
26 |
26 |
$166.40 |
| 90744 |
|
12 |
12 |
$100.48 |
| 99072 |
|
23 |
21 |
$0.00 |