| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
31,661 |
16,656 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,776 |
2,030 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
648 |
437 |
$44K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
270 |
225 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
263 |
229 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,213 |
997 |
$21K |
| 87631 |
|
218 |
154 |
$14K |
| 97802 |
|
912 |
785 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
405 |
317 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
279 |
226 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
78 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
564 |
431 |
$8K |
| 99215 |
Prolong outpt/office vis |
63 |
55 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
67 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
626 |
532 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
30 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
48 |
$3K |
| 92552 |
|
416 |
351 |
$2K |
| 0002A |
|
25 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$1K |
| 99401 |
|
56 |
29 |
$1K |
| 96127 |
|
283 |
234 |
$1K |
| 0072A |
|
22 |
19 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
38 |
17 |
$1K |
| 0071A |
|
28 |
17 |
$1K |
| 0001A |
|
14 |
14 |
$910.00 |
| 92551 |
|
101 |
97 |
$519.73 |
| 99173 |
|
566 |
476 |
$429.23 |
| 90686 |
|
275 |
233 |
$318.62 |
| 90480 |
|
16 |
16 |
$125.00 |
| 85018 |
|
15 |
12 |
$32.12 |
| 36416 |
|
55 |
50 |
$6.32 |
| 91300 |
|
54 |
52 |
$0.00 |
| 90670 |
|
31 |
27 |
$0.00 |
| 90633 |
|
16 |
12 |
$0.00 |
| 3008F |
|
774 |
664 |
$0.00 |
| 99000 |
|
764 |
617 |
$0.00 |
| 91307 |
|
66 |
41 |
$0.00 |
| 90674 |
|
140 |
121 |
$0.00 |
| 90647 |
|
15 |
12 |
$0.00 |