| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,469 |
4,887 |
$346K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,242 |
3,030 |
$290K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,817 |
1,614 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,321 |
1,306 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
907 |
892 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,312 |
3,246 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
389 |
385 |
$36K |
| 97802 |
|
1,678 |
1,640 |
$19K |
| 90461 |
|
1,463 |
1,439 |
$18K |
| 99188 |
|
1,657 |
1,636 |
$10K |
| 99050 |
|
347 |
319 |
$3K |
| 81002 |
|
1,837 |
1,801 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
206 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
134 |
129 |
$953.64 |
| 99460 |
|
12 |
12 |
$768.42 |
| 90670 |
|
690 |
687 |
$262.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$256.41 |
| 90647 |
|
350 |
348 |
$256.28 |
| 90686 |
|
60 |
60 |
$210.00 |
| 90723 |
|
420 |
418 |
$208.76 |
| 90633 |
|
142 |
142 |
$194.06 |
| 87807 |
|
111 |
111 |
$180.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$178.97 |
| 96161 |
|
187 |
183 |
$169.55 |
| 96127 |
|
40 |
39 |
$164.61 |
| 92551 |
|
1,753 |
1,666 |
$24.18 |
| 90710 |
|
57 |
57 |
$20.00 |
| 99173 |
|
1,883 |
1,795 |
$6.57 |
| 90681 |
|
53 |
53 |
$0.00 |
| 90671 |
|
34 |
34 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |