| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,000 |
5,860 |
$413K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
935 |
900 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
341 |
327 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
153 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
123 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,122 |
872 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
39 |
$3K |
| 99385 |
|
29 |
27 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
129 |
125 |
$858.35 |
| 3008F |
|
3,207 |
2,780 |
$388.48 |
| 90461 |
|
12 |
12 |
$230.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$82.72 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
591 |
533 |
$15.00 |
| 97802 |
|
596 |
534 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
18 |
$0.00 |
| 90670 |
|
41 |
41 |
$0.00 |
| 90649 |
|
25 |
24 |
$0.00 |