| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,073 |
2,766 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
965 |
810 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
992 |
928 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
962 |
814 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
521 |
472 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
355 |
322 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
832 |
735 |
$17K |
| 96127 |
|
740 |
682 |
$14K |
| 90686 |
|
856 |
761 |
$9K |
| 90670 |
|
689 |
559 |
$8K |
| 90647 |
|
344 |
272 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
144 |
$4K |
| 90723 |
|
301 |
249 |
$3K |
| 90680 |
|
243 |
206 |
$3K |
| 83655 |
|
185 |
166 |
$2K |
| 90633 |
|
223 |
171 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
86 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
47 |
$604.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$494.62 |
| 90734 |
|
44 |
42 |
$456.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$392.50 |
| 81003 |
|
179 |
172 |
$385.86 |
| 90698 |
|
17 |
17 |
$108.80 |
| 85018 |
|
39 |
32 |
$90.48 |
| 90700 |
|
16 |
14 |
$89.60 |
| 86580 |
|
14 |
14 |
$56.00 |