| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,538 |
3,010 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,296 |
1,105 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,005 |
890 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
871 |
799 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
288 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
160 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
342 |
318 |
$15K |
| 90670 |
|
650 |
565 |
$12K |
| 90686 |
|
639 |
612 |
$9K |
| 90677 |
|
195 |
179 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
349 |
328 |
$6K |
| 90697 |
|
308 |
286 |
$5K |
| 90680 |
|
314 |
287 |
$5K |
| 90656 |
|
215 |
207 |
$4K |
| 90698 |
|
252 |
235 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
34 |
30 |
$3K |
| 90633 |
|
144 |
128 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31 |
30 |
$2K |
| 90651 |
|
44 |
41 |
$1K |
| 90619 |
|
60 |
56 |
$990.68 |
| 87634 |
|
14 |
14 |
$742.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
25 |
$728.25 |
| 90685 |
|
32 |
27 |
$270.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$124.56 |
| 90461 |
|
442 |
362 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,098 |
942 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$0.00 |