| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,716 |
1,664 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
672 |
633 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
309 |
309 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
193 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,614 |
1,613 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
144 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,123 |
1,123 |
$12K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
417 |
415 |
$10K |
| 90461 |
|
269 |
269 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 96127 |
|
325 |
325 |
$3K |
| 99051 |
|
140 |
140 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$981.60 |
| 99188 |
|
25 |
25 |
$650.00 |
| 85018 |
|
287 |
286 |
$627.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$153.53 |
| 99000 |
|
26 |
26 |
$34.00 |