| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,144 |
7,804 |
$84K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,073 |
5,008 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
885 |
877 |
$41K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
428 |
426 |
$33K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
130 |
116 |
$26K |
| 96127 |
|
2,594 |
2,587 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
86 |
69 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,605 |
1,547 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,312 |
1,102 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
374 |
368 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,066 |
1,603 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
163 |
$2K |
| 87634 |
|
40 |
40 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
593 |
593 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
174 |
174 |
$1K |
| 85018 |
|
520 |
519 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
136 |
135 |
$910.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
409 |
$602.83 |
| 83655 |
|
43 |
43 |
$457.64 |
| 99188 |
|
12 |
12 |
$308.10 |
| 81002 |
|
94 |
92 |
$296.72 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
211 |
$245.41 |
| 90480 |
|
12 |
12 |
$183.48 |
| 99177 |
|
40 |
40 |
$133.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$35.70 |
| 99000 |
|
54 |
53 |
$1.10 |
| 90656 |
|
283 |
280 |
$0.00 |
| 90686 |
|
52 |
52 |
$0.00 |
| 99072 |
|
929 |
856 |
$0.00 |