| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,296 |
12,602 |
$1.21M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,333 |
6,121 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
789 |
782 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
775 |
740 |
$62K |
| 92588 |
|
1,303 |
1,302 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
639 |
638 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
294 |
294 |
$27K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
732 |
732 |
$14K |
| 90461 |
|
533 |
520 |
$8K |
| 90677 |
|
262 |
261 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,016 |
982 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
48 |
47 |
$2K |
| 97802 |
|
1,369 |
1,367 |
$2K |
| 92551 |
|
260 |
255 |
$2K |
| 99173 |
|
1,798 |
1,786 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,000 |
1,953 |
$936.71 |
| 90686 |
|
1,015 |
1,009 |
$914.31 |
| 90672 |
|
1,227 |
1,225 |
$846.47 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$803.01 |
| 90671 |
|
18 |
18 |
$735.74 |
| 92570 |
|
56 |
53 |
$691.34 |
| 90710 |
|
56 |
55 |
$645.00 |
| 96127 |
|
82 |
81 |
$311.15 |
| 90651 |
|
28 |
28 |
$255.00 |
| 99188 |
|
22 |
22 |
$232.06 |
| 90473 |
|
39 |
39 |
$190.00 |
| 90744 |
|
101 |
100 |
$28.31 |
| 90670 |
|
395 |
392 |
$0.00 |
| 90734 |
|
41 |
41 |
$0.00 |
| 90633 |
|
168 |
168 |
$0.00 |
| 91300 |
|
25 |
25 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90680 |
|
192 |
192 |
$0.00 |
| 90716 |
|
30 |
29 |
$0.00 |
| 90698 |
|
227 |
227 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |