| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,965 |
7,856 |
$549K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,308 |
4,200 |
$121K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,130 |
1,127 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
900 |
805 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
775 |
774 |
$55K |
| 92567 |
|
3,217 |
3,166 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
487 |
486 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
676 |
663 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,058 |
1,963 |
$16K |
| 85014 |
|
2,618 |
2,612 |
$5K |
| 90461 |
|
373 |
371 |
$5K |
| 85018 |
|
2,200 |
2,193 |
$4K |
| 94010 |
|
125 |
113 |
$3K |
| 81002 |
|
1,472 |
1,464 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
105 |
$2K |
| 81000 |
|
538 |
530 |
$2K |
| 99173 |
|
1,265 |
1,259 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,203 |
1,200 |
$781.04 |
| 90686 |
|
908 |
899 |
$471.91 |
| 81001 |
|
12 |
12 |
$31.37 |
| 90670 |
|
171 |
169 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |