| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,299 |
20,553 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,233 |
7,815 |
$605K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,201 |
17,892 |
$568K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,915 |
3,877 |
$316K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,785 |
3,631 |
$291K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,816 |
2,794 |
$223K |
| 99177 |
|
5,282 |
5,195 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
793 |
784 |
$68K |
| 92551 |
|
7,191 |
7,055 |
$42K |
| 96161 |
|
11,641 |
11,433 |
$34K |
| 99493 |
|
278 |
277 |
$33K |
| 94760 |
|
11,115 |
10,359 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
993 |
969 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
399 |
386 |
$12K |
| 96160 |
|
2,392 |
2,372 |
$8K |
| 99492 |
|
49 |
47 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
435 |
427 |
$6K |
| 90461 |
|
164 |
163 |
$3K |
| 96127 |
|
649 |
620 |
$2K |
| 87428 |
|
55 |
53 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
75 |
62 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
98 |
$1K |
| 99173 |
|
1,358 |
1,313 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$852.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$212.76 |
| 90685 |
|
29 |
29 |
$20.54 |
| 90686 |
|
1,691 |
1,638 |
$18.44 |
| 3008F |
|
1,292 |
1,280 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90670 |
|
74 |
73 |
$0.00 |