| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,494 |
2,924 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
590 |
535 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
403 |
383 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
530 |
379 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,469 |
643 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
227 |
221 |
$6K |
| 90670 |
|
503 |
459 |
$6K |
| 87428 |
|
128 |
78 |
$5K |
| 90697 |
|
316 |
301 |
$4K |
| 90680 |
|
328 |
308 |
$4K |
| 87807 |
|
257 |
232 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
54 |
$3K |
| 90633 |
|
201 |
179 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
185 |
146 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$977.99 |
| 90686 |
|
65 |
51 |
$710.70 |
| 90698 |
|
46 |
39 |
$602.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
58 |
48 |
$466.20 |
| 90707 |
|
17 |
15 |
$197.10 |
| 90716 |
|
17 |
15 |
$197.10 |