| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,750 |
1,687 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
938 |
895 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,214 |
940 |
$40K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,454 |
1,453 |
$13K |
| 96127 |
|
796 |
771 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
423 |
390 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
141 |
$3K |
| 99173 |
|
126 |
126 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
59 |
58 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$997.80 |
| 90461 |
|
24 |
24 |
$875.76 |
| 92552 |
|
24 |
24 |
$618.00 |
| 94760 |
|
95 |
87 |
$223.30 |
| 99177 |
|
12 |
12 |
$44.64 |