| Code | Description | Claims | Beneficiaries | Total Paid |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,871 |
1,535 |
$207K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
671 |
593 |
$83K |
| 99383 |
|
488 |
413 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
202 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
210 |
171 |
$25K |
| 99384 |
|
143 |
120 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
75 |
$9K |
| 99382 |
|
43 |
41 |
$6K |
| 99401 |
|
407 |
320 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
21 |
$3K |
| 99173 |
|
3,787 |
3,050 |
$429.54 |
| 0012A |
|
20 |
14 |
$71.74 |
| 90680 |
|
23 |
18 |
$0.02 |
| 36415 |
Collection of venous blood by venipuncture |
2,273 |
1,750 |
$0.00 |
| 85018 |
|
4,299 |
3,450 |
$0.00 |
| 92551 |
|
1,387 |
1,131 |
$0.00 |
| 92567 |
|
538 |
476 |
$0.00 |
| 3351F |
|
12 |
12 |
$0.00 |
| 96127 |
|
62 |
53 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
16 |
$0.00 |
| 3008F |
|
28 |
25 |
$0.00 |
| 0001A |
|
32 |
25 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
60 |
$0.00 |
| 90686 |
|
14 |
13 |
$0.00 |
| 81001 |
|
22 |
21 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$0.00 |
| 81002 |
|
128 |
100 |
$0.00 |
| 96160 |
|
254 |
225 |
$0.00 |
| 82947 |
|
54 |
39 |
$0.00 |
| 92553 |
|
12 |
12 |
$0.00 |
| 90670 |
|
23 |
20 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
25 |
$0.00 |