| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,445 |
3,733 |
$268K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,824 |
6,520 |
$252K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,558 |
1,228 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,228 |
987 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
947 |
798 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
442 |
362 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,729 |
1,454 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
426 |
402 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
654 |
468 |
$11K |
| 90686 |
|
920 |
819 |
$11K |
| 90648 |
|
1,032 |
889 |
$10K |
| 90670 |
|
878 |
724 |
$7K |
| 90723 |
|
635 |
530 |
$6K |
| 90633 |
|
372 |
287 |
$3K |
| 90716 |
|
255 |
243 |
$3K |
| 90707 |
|
249 |
235 |
$2K |
| 90734 |
|
216 |
203 |
$2K |
| 99383 |
|
44 |
40 |
$2K |
| 90651 |
|
189 |
171 |
$2K |
| 90677 |
|
173 |
169 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
110 |
59 |
$1K |
| 87807 |
|
117 |
108 |
$1K |
| 99381 |
|
33 |
24 |
$1K |
| 90681 |
|
72 |
72 |
$750.82 |
| 90715 |
|
68 |
66 |
$724.20 |
| 99382 |
|
14 |
13 |
$540.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$439.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$357.00 |
| 95117 |
|
22 |
12 |
$280.29 |
| 90696 |
|
29 |
28 |
$280.00 |
| 90620 |
|
17 |
16 |
$160.00 |
| 90700 |
|
12 |
12 |
$105.16 |