| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,788 |
4,279 |
$285K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,920 |
2,285 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
810 |
810 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
479 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
520 |
520 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
389 |
375 |
$31K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,955 |
2,944 |
$27K |
| 90461 |
|
719 |
716 |
$26K |
| 99173 |
|
1,119 |
1,119 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
196 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,647 |
1,646 |
$17K |
| 96127 |
|
1,162 |
1,160 |
$12K |
| 99177 |
|
753 |
751 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
506 |
306 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
142 |
140 |
$3K |
| 99051 |
|
189 |
184 |
$3K |
| 0071A |
|
65 |
65 |
$3K |
| 0072A |
|
53 |
53 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
149 |
$2K |
| 92551 |
|
202 |
200 |
$2K |
| 99050 |
|
27 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
81 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
37 |
$770.85 |
| 87430 |
|
21 |
20 |
$483.00 |
| 94760 |
|
98 |
87 |
$450.80 |
| 87081 |
|
64 |
64 |
$437.76 |
| 85018 |
|
167 |
167 |
$374.44 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$153.79 |