| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,583 |
6,007 |
$352K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,628 |
2,908 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
753 |
619 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
675 |
544 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,135 |
1,812 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
404 |
333 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
716 |
311 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
119 |
$11K |
| 94760 |
|
1,981 |
1,612 |
$5K |
| 90670 |
|
415 |
339 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
72 |
69 |
$4K |
| 90734 |
|
196 |
140 |
$4K |
| 90716 |
|
194 |
155 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
99 |
$3K |
| 90707 |
|
149 |
132 |
$2K |
| 90700 |
|
164 |
119 |
$2K |
| 81002 |
|
611 |
513 |
$1K |
| 90647 |
|
162 |
129 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
77 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
415 |
374 |
$614.84 |
| 90658 |
|
93 |
66 |
$582.40 |
| 90715 |
|
29 |
24 |
$484.59 |
| 87807 |
|
44 |
33 |
$433.79 |
| 90649 |
|
61 |
39 |
$358.40 |
| 90461 |
|
181 |
144 |
$309.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
13 |
$241.05 |
| J7510 |
Prednisolone oral, per 5 mg |
362 |
256 |
$79.31 |