| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,522 |
1,225 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,220 |
969 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
528 |
448 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
301 |
266 |
$25K |
| 99384 |
|
207 |
158 |
$21K |
| 87428 |
|
221 |
194 |
$14K |
| 99000 |
|
756 |
513 |
$12K |
| 94760 |
|
3,291 |
2,585 |
$10K |
| 99383 |
|
86 |
64 |
$8K |
| 87430 |
|
432 |
372 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
60 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
47 |
$4K |
| 99173 |
|
555 |
455 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
24 |
18 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
45 |
42 |
$2K |
| 96127 |
|
119 |
91 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
34 |
33 |
$2K |
| 90734 |
|
123 |
69 |
$1K |
| 90619 |
|
68 |
68 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
63 |
$1K |
| 90715 |
|
62 |
52 |
$986.58 |
| 87400 |
|
50 |
41 |
$771.68 |
| 90713 |
|
45 |
28 |
$693.76 |
| 90651 |
|
29 |
25 |
$472.90 |
| 90716 |
|
30 |
14 |
$459.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
31 |
$439.39 |
| 90707 |
|
27 |
13 |
$413.37 |
| 90700 |
|
24 |
12 |
$364.46 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
605 |
436 |
$346.50 |
| 90686 |
|
29 |
25 |
$243.33 |
| 90649 |
|
20 |
15 |
$128.00 |
| 90688 |
|
17 |
15 |
$112.64 |
| 99070 |
|
47 |
18 |
$100.00 |
| 90461 |
|
126 |
94 |
$0.00 |