| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,067 |
2,995 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,079 |
1,043 |
$102K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,345 |
2,006 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
633 |
633 |
$53K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
292 |
292 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
388 |
388 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
328 |
328 |
$28K |
| 99173 |
|
1,151 |
1,151 |
$26K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,638 |
2,638 |
$24K |
| 90461 |
|
428 |
428 |
$16K |
| 96127 |
|
1,385 |
1,385 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
166 |
$13K |
| 99050 |
|
738 |
733 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,007 |
1,005 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
467 |
466 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
200 |
200 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
58 |
57 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
68 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$1K |
| 99051 |
|
68 |
67 |
$1K |
| 81002 |
|
208 |
204 |
$553.90 |
| 0072A |
|
12 |
12 |
$550.56 |
| 0071A |
|
12 |
12 |
$550.56 |
| 83655 |
|
27 |
27 |
$298.35 |
| 36416 |
|
12 |
12 |
$230.00 |
| 85018 |
|
26 |
26 |
$56.16 |