| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,774 |
4,340 |
$395K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,575 |
1,490 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
757 |
754 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,251 |
2,232 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
704 |
702 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
497 |
493 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
570 |
555 |
$53K |
| 92552 |
|
1,866 |
1,813 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
943 |
895 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,603 |
3,385 |
$29K |
| 97802 |
|
1,890 |
1,824 |
$15K |
| 99215 |
Prolong outpt/office vis |
89 |
85 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
508 |
272 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
278 |
248 |
$11K |
| 90461 |
|
337 |
292 |
$10K |
| 90688 |
|
323 |
319 |
$8K |
| 99050 |
|
84 |
81 |
$4K |
| 92570 |
|
48 |
43 |
$3K |
| 99188 |
|
196 |
194 |
$2K |
| 96127 |
|
338 |
326 |
$2K |
| 96160 |
|
200 |
192 |
$905.57 |
| 90670 |
|
29 |
25 |
$449.11 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$430.12 |
| 90687 |
|
26 |
26 |
$284.31 |
| 90734 |
|
13 |
12 |
$99.14 |
| 90671 |
|
78 |
76 |
$20.00 |
| 90686 |
|
44 |
38 |
$0.00 |
| 99173 |
|
1,804 |
1,659 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$0.00 |