| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,197 |
9,763 |
$429K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,551 |
2,489 |
$245K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,414 |
2,404 |
$229K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,149 |
1,113 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,566 |
5,455 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
447 |
444 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
392 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
770 |
748 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
243 |
240 |
$4K |
| 99381 |
|
41 |
40 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
167 |
165 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
804 |
430 |
$3K |
| 90698 |
|
1,241 |
1,201 |
$2K |
| 90670 |
|
1,243 |
1,204 |
$2K |
| 90686 |
|
738 |
729 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
413 |
410 |
$1K |
| 90710 |
|
81 |
80 |
$626.73 |
| 83655 |
|
254 |
252 |
$607.09 |
| 90633 |
|
708 |
677 |
$500.94 |
| 99188 |
|
57 |
56 |
$483.59 |
| 90680 |
|
847 |
833 |
$375.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
18 |
18 |
$205.30 |
| 90696 |
|
94 |
93 |
$196.03 |
| 90744 |
|
645 |
611 |
$193.02 |
| 85018 |
|
364 |
358 |
$178.86 |
| 90461 |
|
1,846 |
1,781 |
$144.00 |
| 90707 |
|
89 |
88 |
$96.03 |
| 90656 |
|
19 |
18 |
$82.66 |
| 90651 |
|
40 |
40 |
$78.02 |
| 81003 |
|
53 |
51 |
$40.42 |
| 99173 |
|
1,229 |
1,177 |
$7.50 |
| 92551 |
|
975 |
925 |
$0.00 |
| 90716 |
|
91 |
90 |
$0.00 |