| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,887 |
1,692 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
822 |
751 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,071 |
1,151 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
634 |
587 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
229 |
229 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
113 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
863 |
862 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
240 |
231 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
92 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
87 |
85 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
390 |
390 |
$4K |
| 90461 |
|
136 |
117 |
$4K |
| 96127 |
|
312 |
309 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
74 |
$3K |
| 99177 |
|
376 |
376 |
$2K |
| 87634 |
|
29 |
28 |
$2K |
| 99173 |
|
76 |
76 |
$2K |
| 92587 |
|
42 |
42 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$952.32 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$887.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
65 |
$790.74 |
| 0072A |
|
17 |
17 |
$756.50 |
| 0071A |
|
12 |
12 |
$534.00 |