| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,743 |
3,069 |
$96K |
| 96127 |
|
1,129 |
868 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,282 |
1,063 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
900 |
834 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
72 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
69 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
84 |
68 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
121 |
96 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
158 |
129 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
336 |
305 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
40 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
158 |
144 |
$3K |
| 90686 |
|
557 |
505 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$1K |
| 99460 |
|
15 |
15 |
$858.57 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
15 |
$828.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
46 |
$653.54 |
| 94760 |
|
198 |
134 |
$231.62 |
| 90734 |
|
20 |
20 |
$112.93 |
| 90715 |
|
15 |
15 |
$37.55 |
| 99000 |
|
52 |
38 |
$3.17 |
| 91307 |
|
27 |
27 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |