| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,863 |
3,469 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
820 |
801 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
527 |
493 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
516 |
500 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
278 |
276 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
658 |
626 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
317 |
305 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
338 |
325 |
$9K |
| 92551 |
|
1,693 |
1,659 |
$7K |
| 99173 |
|
1,573 |
1,550 |
$4K |
| 87428 |
|
83 |
77 |
$4K |
| 96160 |
|
2,184 |
2,093 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
243 |
231 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
69 |
$2K |
| 90686 |
|
353 |
347 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
355 |
286 |
$1K |
| 96127 |
|
547 |
526 |
$1K |
| 99051 |
|
24 |
24 |
$711.20 |
| 90670 |
|
84 |
82 |
$585.64 |
| 90648 |
|
84 |
83 |
$510.00 |
| 99188 |
|
31 |
31 |
$492.00 |
| 96161 |
|
278 |
270 |
$454.49 |
| 94760 |
|
577 |
537 |
$106.91 |
| 90680 |
|
14 |
13 |
$20.00 |
| 90723 |
|
14 |
13 |
$20.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
179 |
169 |
$5.60 |
| 36416 |
|
15 |
15 |
$3.63 |
| 85013 |
|
13 |
13 |
$0.00 |
| 83655 |
|
223 |
219 |
$0.00 |
| 80061 |
Lipid panel |
31 |
28 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |