| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,357 |
4,653 |
$169K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,310 |
1,919 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,333 |
2,018 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,858 |
1,089 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,782 |
1,076 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,207 |
757 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,493 |
1,779 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,054 |
602 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,387 |
1,538 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,234 |
2,434 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
922 |
536 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,858 |
755 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
409 |
168 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,045 |
583 |
$6K |
| 97169 |
|
268 |
143 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
49 |
$2K |
| 90681 |
|
680 |
408 |
$2K |
| 90656 |
|
137 |
109 |
$1K |
| 90461 |
|
619 |
429 |
$713.44 |
| 96160 |
|
816 |
428 |
$708.43 |
| 90620 |
|
36 |
27 |
$0.00 |
| 90619 |
|
173 |
91 |
$0.00 |
| 90697 |
|
303 |
190 |
$0.00 |
| 90651 |
|
130 |
67 |
$0.00 |
| 90696 |
|
46 |
26 |
$0.00 |
| 90698 |
|
32 |
13 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90670 |
|
1,055 |
658 |
$0.00 |
| 90633 |
|
475 |
275 |
$0.00 |
| 90700 |
|
30 |
24 |
$0.00 |
| 90710 |
|
368 |
223 |
$0.00 |
| 90648 |
|
70 |
64 |
$0.00 |
| 90734 |
|
28 |
26 |
$0.00 |
| 90715 |
|
71 |
27 |
$0.00 |