| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,679 |
3,572 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,640 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,550 |
2,771 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
966 |
966 |
$81K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
490 |
488 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
898 |
898 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
521 |
518 |
$41K |
| 90461 |
|
1,006 |
1,002 |
$39K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,597 |
3,591 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
336 |
$31K |
| 99173 |
|
863 |
862 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,827 |
1,819 |
$19K |
| 96127 |
|
1,504 |
1,503 |
$15K |
| 99050 |
|
761 |
752 |
$13K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
349 |
348 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
558 |
554 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
187 |
187 |
$6K |
| 99051 |
|
110 |
108 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
72 |
$2K |
| 83655 |
|
99 |
99 |
$1K |
| 0071A |
|
22 |
22 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$797.55 |
| 36416 |
|
43 |
43 |
$652.50 |
| 81002 |
|
199 |
198 |
$532.80 |
| 85018 |
|
73 |
73 |
$155.86 |