| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,379 |
1,338 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,277 |
1,098 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
332 |
328 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
261 |
261 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
212 |
212 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
147 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,463 |
1,462 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,114 |
1,080 |
$12K |
| 90461 |
|
231 |
228 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
86 |
86 |
$7K |
| 96127 |
|
401 |
401 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
58 |
58 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
90 |
90 |
$2K |
| 81003 |
|
551 |
539 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 0071A |
|
19 |
19 |
$871.72 |
| 85018 |
|
392 |
392 |
$841.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
63 |
$769.23 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$480.15 |
| 92587 |
|
24 |
24 |
$415.44 |
| 99173 |
|
12 |
12 |
$266.64 |
| 83718 |
|
13 |
13 |
$97.24 |
| 82465 |
|
13 |
13 |
$51.61 |