| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,495 |
6,121 |
$376K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,970 |
1,867 |
$198K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,902 |
2,222 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
913 |
913 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
735 |
735 |
$62K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
472 |
464 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
516 |
516 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,561 |
3,535 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
449 |
437 |
$36K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,509 |
3,492 |
$32K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,322 |
1,290 |
$31K |
| 90461 |
|
780 |
780 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
580 |
570 |
$18K |
| 99173 |
|
872 |
872 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
322 |
318 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
408 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
615 |
609 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
363 |
357 |
$4K |
| 87081 |
|
493 |
491 |
$3K |
| 0072A |
|
58 |
58 |
$3K |
| 96127 |
|
144 |
142 |
$2K |
| 0071A |
|
31 |
31 |
$1K |
| 99177 |
|
106 |
106 |
$1K |
| 83655 |
|
72 |
72 |
$835.92 |
| 92551 |
|
62 |
62 |
$609.10 |
| 0054A |
|
14 |
14 |
$455.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$428.40 |
| 85018 |
|
149 |
149 |
$339.76 |
| 82465 |
|
44 |
44 |
$181.82 |
| 81025 |
|
25 |
25 |
$159.00 |
| 87070 |
|
16 |
16 |
$142.08 |
| 81002 |
|
42 |
36 |
$105.37 |