| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,406 |
3,238 |
$197K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,826 |
1,668 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
541 |
541 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
509 |
509 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,440 |
2,431 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
304 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
256 |
256 |
$23K |
| 90461 |
|
629 |
628 |
$21K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,116 |
2,116 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
214 |
211 |
$18K |
| 99177 |
|
290 |
290 |
$5K |
| 99051 |
|
239 |
237 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
261 |
256 |
$3K |
| 92587 |
|
98 |
96 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
82 |
$2K |
| 85018 |
|
416 |
414 |
$973.48 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
25 |
25 |
$607.56 |
| 96127 |
|
58 |
58 |
$595.66 |
| 99000 |
|
343 |
343 |
$414.00 |
| 36416 |
|
16 |
16 |
$160.00 |
| 90633 |
|
14 |
14 |
$0.00 |