| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,619 |
12,238 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,437 |
3,946 |
$523K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,854 |
2,764 |
$306K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,531 |
2,434 |
$268K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,968 |
1,921 |
$233K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,323 |
2,037 |
$220K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,694 |
1,501 |
$68K |
| 90686 |
|
2,375 |
2,259 |
$51K |
| 90698 |
|
1,583 |
1,493 |
$35K |
| 90670 |
|
1,290 |
1,207 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
226 |
214 |
$27K |
| 90677 |
|
369 |
348 |
$25K |
| 90680 |
|
978 |
911 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,413 |
1,035 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,680 |
1,505 |
$18K |
| 90633 |
|
738 |
705 |
$17K |
| 90651 |
|
691 |
666 |
$16K |
| 99215 |
Prolong outpt/office vis |
82 |
76 |
$12K |
| 90744 |
|
528 |
492 |
$12K |
| 90619 |
|
386 |
369 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
645 |
607 |
$9K |
| 90620 |
|
368 |
351 |
$8K |
| 96160 |
|
2,115 |
2,005 |
$7K |
| 90734 |
|
243 |
234 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
367 |
354 |
$4K |
| 99381 |
|
30 |
28 |
$3K |
| 90715 |
|
114 |
103 |
$2K |
| 90710 |
|
108 |
105 |
$2K |
| 90696 |
|
91 |
89 |
$2K |
| 90697 |
|
90 |
82 |
$2K |
| 96161 |
|
416 |
365 |
$1K |
| 90685 |
|
43 |
41 |
$977.76 |
| 90716 |
|
39 |
36 |
$838.08 |
| 90707 |
|
12 |
12 |
$279.36 |
| 81002 |
|
56 |
50 |
$144.33 |
| 36416 |
|
12 |
12 |
$0.00 |