| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,032 |
10,371 |
$548K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,275 |
2,231 |
$266K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,940 |
1,866 |
$198K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,830 |
1,808 |
$192K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,399 |
1,366 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
635 |
615 |
$45K |
| 92551 |
|
1,991 |
1,911 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,161 |
2,080 |
$13K |
| 90698 |
|
905 |
884 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
143 |
135 |
$5K |
| 90686 |
|
704 |
691 |
$5K |
| 99173 |
|
1,799 |
1,723 |
$5K |
| 90680 |
|
688 |
667 |
$5K |
| 90670 |
|
1,216 |
1,136 |
$4K |
| 90633 |
|
640 |
632 |
$4K |
| 90688 |
|
585 |
552 |
$4K |
| 90651 |
|
388 |
374 |
$3K |
| 90716 |
|
465 |
459 |
$3K |
| 90707 |
|
469 |
465 |
$3K |
| 90744 |
|
446 |
434 |
$2K |
| 90677 |
|
247 |
246 |
$2K |
| 90656 |
|
165 |
163 |
$2K |
| 97802 |
|
230 |
215 |
$2K |
| 90461 |
|
638 |
323 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
154 |
$1K |
| 90685 |
|
206 |
198 |
$1K |
| 96127 |
|
202 |
194 |
$569.64 |
| 90619 |
|
52 |
52 |
$341.38 |
| 90696 |
|
74 |
74 |
$335.73 |
| 90700 |
|
27 |
27 |
$286.95 |
| 96161 |
|
149 |
128 |
$280.62 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
85 |
$214.45 |
| 90715 |
|
79 |
69 |
$147.36 |
| 90648 |
|
13 |
13 |
$145.04 |
| 99072 |
|
7,991 |
7,189 |
$91.98 |
| 3008F |
|
145 |
134 |
$0.00 |
| 90734 |
|
247 |
209 |
$0.00 |