| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,153 |
10,719 |
$624K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,577 |
2,518 |
$192K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,216 |
4,008 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,073 |
1,073 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,325 |
7,316 |
$76K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
8,089 |
8,081 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
898 |
898 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
806 |
806 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
357 |
354 |
$31K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
568 |
562 |
$25K |
| 92587 |
|
2,283 |
1,238 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,420 |
1,394 |
$19K |
| 90461 |
|
1,108 |
1,108 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
798 |
794 |
$14K |
| T1015 |
Clinic visit/encounter, all-inclusive |
66 |
65 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
266 |
261 |
$10K |
| 96127 |
|
758 |
758 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
66 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
179 |
$5K |
| 99188 |
|
143 |
143 |
$4K |
| 85018 |
|
1,228 |
1,226 |
$3K |
| 99050 |
|
144 |
143 |
$2K |
| ATP03 |
|
250 |
250 |
$2K |
| 90686 |
|
2,179 |
2,177 |
$1K |
| 80061 |
Lipid panel |
44 |
44 |
$212.58 |
| 81002 |
|
67 |
63 |
$197.19 |
| 94760 |
|
34 |
34 |
$3.36 |
| 90670 |
|
168 |
168 |
$0.00 |
| 90734 |
|
61 |
61 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90633 |
|
85 |
85 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90688 |
|
19 |
19 |
$0.00 |