| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,162 |
2,125 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,074 |
1,062 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,247 |
922 |
$39K |
| 92558 |
|
730 |
730 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
422 |
422 |
$22K |
| 99177 |
|
772 |
772 |
$18K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,496 |
1,496 |
$14K |
| 99051 |
|
765 |
757 |
$13K |
| 96127 |
|
883 |
850 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
105 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
68 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
512 |
455 |
$5K |
| 90461 |
|
146 |
146 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
194 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
144 |
$3K |
| 92587 |
|
123 |
123 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
159 |
$2K |
| 99000 |
|
29 |
29 |
$29.00 |
| 99072 |
|
58 |
57 |
$0.00 |