| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,895 |
5,762 |
$496K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,693 |
2,177 |
$269K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,716 |
1,323 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,300 |
949 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,045 |
2,988 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
703 |
387 |
$32K |
| 90461 |
|
1,391 |
1,028 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
52 |
$5K |
| 90670 |
|
449 |
142 |
$2K |
| 97802 |
|
419 |
352 |
$2K |
| 90700 |
|
108 |
38 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
290 |
148 |
$914.02 |
| 90686 |
|
374 |
335 |
$748.77 |
| 90633 |
|
48 |
42 |
$272.73 |
| 90621 |
|
48 |
48 |
$96.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
29 |
$19.84 |
| S9470 |
Nutritional counseling, dietitian visit |
338 |
275 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
359 |
296 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
358 |
296 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
25 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |