| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,208 |
9,711 |
$323K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,262 |
6,207 |
$143K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
10,701 |
10,614 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,042 |
2,877 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,368 |
1,367 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,681 |
1,680 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,357 |
1,334 |
$68K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,231 |
5,211 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,026 |
1,025 |
$45K |
| 99173 |
|
3,731 |
3,712 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,900 |
1,865 |
$25K |
| 99460 |
|
86 |
86 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
546 |
545 |
$7K |
| 99215 |
Prolong outpt/office vis |
442 |
420 |
$7K |
| 0071A |
|
105 |
105 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
144 |
$5K |
| 92551 |
|
499 |
498 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
207 |
203 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
295 |
161 |
$4K |
| 0072A |
|
68 |
68 |
$3K |
| 85018 |
|
879 |
874 |
$2K |
| 81002 |
|
515 |
514 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$1K |
| 99462 |
|
27 |
25 |
$1K |
| 96127 |
|
3,739 |
3,724 |
$733.90 |
| 92552 |
|
12 |
12 |
$339.53 |
| 92587 |
|
13 |
13 |
$219.57 |
| 90461 |
|
14 |
14 |
$143.69 |
| 90661 |
|
259 |
258 |
$98.93 |
| 80061 |
Lipid panel |
26 |
26 |
$87.69 |
| 82947 |
|
25 |
25 |
$80.74 |
| 90686 |
|
207 |
207 |
$74.00 |
| 99051 |
|
13 |
13 |
$42.24 |
| 96161 |
|
37 |
37 |
$17.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
21 |
$9.84 |
| 90677 |
|
209 |
209 |
$0.00 |
| 90697 |
|
142 |
142 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90656 |
|
77 |
77 |
$0.00 |
| 90681 |
|
40 |
40 |
$0.00 |
| 91311 |
|
13 |
13 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |