| Code | Description | Claims | Beneficiaries | Total Paid |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,404 |
5,335 |
$485K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,030 |
11,927 |
$411K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,995 |
3,899 |
$341K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,067 |
3,588 |
$290K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,435 |
2,407 |
$199K |
| 90671 |
|
796 |
787 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,326 |
1,288 |
$62K |
| 99381 |
|
528 |
518 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,512 |
8,584 |
$40K |
| 90697 |
|
556 |
549 |
$39K |
| 90670 |
|
1,256 |
1,201 |
$35K |
| 90619 |
|
249 |
249 |
$14K |
| 90680 |
|
1,270 |
1,225 |
$10K |
| 90696 |
|
39 |
39 |
$3K |
| 90461 |
|
917 |
247 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
35 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
240 |
235 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
221 |
$653.40 |
| 90651 |
|
107 |
106 |
$605.37 |
| 90686 |
|
58 |
57 |
$405.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$357.30 |
| 90633 |
|
562 |
552 |
$353.32 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
3,392 |
3,274 |
$175.39 |
| 90723 |
|
478 |
463 |
$150.03 |
| 90734 |
|
141 |
137 |
$108.60 |
| 90698 |
|
288 |
274 |
$58.97 |
| 90716 |
|
66 |
66 |
$24.01 |
| 90715 |
|
49 |
49 |
$10.29 |
| 90710 |
|
246 |
241 |
$10.00 |
| 90648 |
|
476 |
449 |
$0.00 |