| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,426 |
10,115 |
$380K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,244 |
1,203 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,824 |
3,445 |
$92K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,160 |
5,143 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,154 |
4,141 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
231 |
231 |
$23K |
| 99051 |
|
353 |
347 |
$6K |
| 96127 |
|
630 |
626 |
$6K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
26 |
25 |
$3K |
| 90461 |
|
268 |
103 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
320 |
160 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
247 |
246 |
$3K |
| 87070 |
|
164 |
163 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
38 |
$964.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$483.63 |
| 90686 |
|
1,337 |
1,335 |
$296.23 |
| 99173 |
|
937 |
934 |
$102.69 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$78.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$20.45 |
| 90656 |
|
98 |
98 |
$17.69 |
| 99072 |
|
30 |
26 |
$0.00 |