| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,692 |
18,240 |
$951K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,992 |
7,872 |
$71K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,340 |
1,317 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,987 |
2,950 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,646 |
5,488 |
$57K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
281 |
278 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,239 |
1,224 |
$16K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
551 |
543 |
$13K |
| 85014 |
|
5,674 |
5,603 |
$12K |
| 85018 |
|
5,662 |
5,589 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
393 |
392 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
81 |
$4K |
| 87081 |
|
576 |
570 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
30 |
$781.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
66 |
$422.55 |
| 90461 |
|
13 |
13 |
$392.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$342.44 |
| 81002 |
|
97 |
93 |
$264.11 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
102 |
$214.20 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
32 |
$166.30 |
| 87070 |
|
13 |
13 |
$98.80 |
| 90686 |
|
1,859 |
1,846 |
$20.53 |
| 91307 |
|
14 |
14 |
$0.00 |