| Code | Description | Claims | Beneficiaries | Total Paid |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,214 |
2,170 |
$177K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,349 |
1,336 |
$104K |
| 99382 |
|
571 |
555 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
280 |
252 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
445 |
377 |
$13K |
| 99383 |
|
153 |
148 |
$12K |
| 92587 |
|
519 |
501 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
77 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
65 |
$4K |
| 99384 |
|
94 |
85 |
$4K |
| 99429 |
|
375 |
365 |
$2K |
| 83655 |
|
107 |
97 |
$889.85 |
| 90715 |
|
31 |
28 |
$531.15 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$451.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
28 |
$449.90 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
14 |
$413.80 |
| 90686 |
|
54 |
52 |
$363.64 |
| 90734 |
|
47 |
47 |
$299.40 |
| 85018 |
|
90 |
79 |
$137.97 |
| 90656 |
|
15 |
15 |
$112.98 |
| 99173 |
|
27 |
21 |
$62.50 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |