| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,853 |
1,806 |
$105K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
867 |
858 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
179 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
332 |
331 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
149 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
147 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
610 |
609 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
287 |
286 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
337 |
336 |
$4K |
| 99051 |
|
216 |
216 |
$4K |
| 92587 |
|
53 |
53 |
$2K |
| 96127 |
|
219 |
219 |
$2K |
| 99177 |
|
113 |
113 |
$2K |
| 90461 |
|
43 |
43 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$915.79 |
| 0072A |
|
14 |
14 |
$546.00 |
| 85018 |
|
232 |
232 |
$501.12 |
| 99000 |
|
188 |
187 |
$228.00 |
| 94760 |
|
113 |
110 |
$221.76 |