| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,827 |
3,444 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
508 |
465 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
478 |
430 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
421 |
370 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
337 |
310 |
$25K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
533 |
513 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
241 |
218 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
165 |
161 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
75 |
73 |
$3K |
| 90686 |
|
268 |
257 |
$3K |
| 90734 |
|
87 |
81 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
105 |
96 |
$2K |
| 90670 |
|
141 |
133 |
$1K |
| 90651 |
|
16 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
58 |
$759.92 |
| 90656 |
|
30 |
28 |
$537.24 |
| 90723 |
|
69 |
67 |
$435.20 |
| 90715 |
|
12 |
12 |
$134.94 |
| 90633 |
|
12 |
12 |
$126.30 |
| 90647 |
|
14 |
12 |
$83.20 |
| 36416 |
|
16 |
16 |
$65.60 |