| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,813 |
9,620 |
$739K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,352 |
5,918 |
$326K |
| T1015 |
Clinic visit/encounter, all-inclusive |
14,833 |
11,996 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,127 |
912 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
442 |
381 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,075 |
2,519 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,280 |
1,055 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
193 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
366 |
304 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,682 |
2,923 |
$10K |
| 87428 |
|
333 |
280 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
93 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
242 |
206 |
$7K |
| 90686 |
|
488 |
410 |
$2K |
| 99177 |
|
359 |
305 |
$2K |
| 99460 |
|
13 |
12 |
$851.38 |
| 90474 |
|
62 |
56 |
$601.66 |
| 90677 |
|
109 |
96 |
$591.75 |
| 90661 |
|
74 |
61 |
$474.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
28 |
$409.65 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
13 |
$299.52 |
| 87430 |
|
19 |
19 |
$251.33 |
| 3725F |
|
2,868 |
2,341 |
$2.25 |
| 3078F |
|
8,730 |
7,066 |
$0.00 |
| 1160F |
|
14,098 |
10,855 |
$0.00 |
| 1159F |
|
12,730 |
9,787 |
$0.00 |
| 90670 |
|
315 |
277 |
$0.00 |
| 90633 |
|
27 |
26 |
$0.00 |
| 3077F |
|
28 |
25 |
$0.00 |
| 90680 |
|
85 |
80 |
$0.00 |
| 1036F |
|
9,868 |
7,716 |
$0.00 |
| 3008F |
|
13,419 |
10,628 |
$0.00 |
| 1034F |
|
311 |
260 |
$0.00 |
| 3074F |
|
9,899 |
7,939 |
$0.00 |
| 3079F |
|
1,630 |
1,274 |
$0.00 |
| 3075F |
|
146 |
125 |
$0.00 |
| 3080F |
|
71 |
53 |
$0.00 |
| 90647 |
|
236 |
209 |
$0.00 |
| 90723 |
|
102 |
98 |
$0.00 |