| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,140 |
2,054 |
$123K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
626 |
572 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,306 |
1,302 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
128 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
860 |
859 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
57 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
36 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
116 |
116 |
$3K |
| 90461 |
|
39 |
39 |
$1K |
| 99051 |
|
70 |
69 |
$960.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$368.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$359.50 |
| 85018 |
|
79 |
79 |
$181.84 |
| 99177 |
|
13 |
13 |
$48.36 |
| 99000 |
|
25 |
25 |
$30.00 |