| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,436 |
3,333 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,355 |
$135K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
575 |
569 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,033 |
1,744 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
372 |
372 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
321 |
321 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
269 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
276 |
276 |
$22K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,333 |
2,333 |
$21K |
| 90461 |
|
493 |
491 |
$19K |
| 99050 |
|
920 |
906 |
$15K |
| 96127 |
|
1,229 |
1,219 |
$13K |
| 99173 |
|
500 |
500 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
981 |
978 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
278 |
278 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
432 |
426 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
173 |
172 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
89 |
$2K |
| 99051 |
|
94 |
92 |
$2K |
| 36416 |
|
60 |
60 |
$895.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$858.90 |
| 0072A |
|
18 |
18 |
$825.84 |
| 0071A |
|
13 |
13 |
$596.44 |
| 81002 |
|
127 |
126 |
$328.77 |
| 83655 |
|
27 |
27 |
$298.35 |
| 94664 |
|
16 |
16 |
$230.08 |
| 85018 |
|
46 |
46 |
$99.36 |