| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,927 |
5,327 |
$408K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,118 |
1,914 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,144 |
1,144 |
$101K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,935 |
1,932 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,276 |
3,241 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
615 |
596 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
480 |
466 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
207 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
467 |
454 |
$13K |
| 90474 |
|
640 |
639 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
101 |
$9K |
| 90686 |
|
479 |
475 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
304 |
282 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
77 |
$1K |
| 87807 |
|
96 |
91 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$957.32 |
| 90715 |
|
25 |
24 |
$731.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
42 |
$652.28 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$620.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$587.41 |
| 90656 |
|
51 |
51 |
$293.02 |
| 90688 |
|
14 |
14 |
$231.92 |
| 90716 |
|
64 |
64 |
$150.23 |
| 81025 |
|
12 |
12 |
$84.26 |
| 96127 |
|
19 |
19 |
$73.34 |
| 85018 |
|
12 |
12 |
$25.32 |
| 90680 |
|
628 |
627 |
$0.00 |
| 90647 |
|
272 |
272 |
$0.00 |
| 90723 |
|
85 |
85 |
$0.00 |
| 90674 |
|
37 |
37 |
$0.00 |
| 90697 |
|
276 |
276 |
$0.00 |
| 96160 |
|
334 |
334 |
$0.00 |
| 90670 |
|
865 |
864 |
$0.00 |
| 90700 |
|
68 |
68 |
$0.00 |
| 90671 |
|
215 |
215 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90707 |
|
50 |
50 |
$0.00 |
| 90633 |
|
78 |
78 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90687 |
|
15 |
15 |
$0.00 |