| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,109 |
35,129 |
$2.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,910 |
10,677 |
$1.15M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,573 |
5,572 |
$497K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,452 |
24,340 |
$460K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,044 |
4,043 |
$352K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,928 |
3,905 |
$328K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,853 |
4,804 |
$202K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,248 |
1,248 |
$118K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,039 |
3,953 |
$80K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,490 |
1,484 |
$77K |
| 99051 |
|
1,541 |
1,533 |
$11K |
| 90461 |
|
3,707 |
3,702 |
$7K |
| 83655 |
|
538 |
538 |
$7K |
| 92551 |
|
957 |
957 |
$6K |
| 85018 |
|
963 |
962 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
238 |
238 |
$1K |
| 0072A |
|
25 |
25 |
$918.88 |
| 0071A |
|
14 |
14 |
$464.51 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$359.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$307.73 |
| 99174 |
|
879 |
879 |
$202.16 |
| 90686 |
|
4,785 |
4,783 |
$74.83 |
| 87081 |
|
13 |
12 |
$65.57 |
| 90671 |
|
338 |
338 |
$1.06 |
| 90697 |
|
260 |
260 |
$0.14 |
| 90619 |
|
14 |
14 |
$0.06 |
| 90677 |
|
146 |
146 |
$0.03 |
| 90656 |
|
444 |
444 |
$0.02 |
| 90680 |
|
475 |
475 |
$0.00 |
| 90698 |
|
362 |
361 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90670 |
|
741 |
741 |
$0.00 |
| 90633 |
|
86 |
86 |
$0.00 |
| 90685 |
|
39 |
39 |
$0.00 |