| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,185 |
5,777 |
$373K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,326 |
3,086 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
848 |
847 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
789 |
789 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
679 |
674 |
$64K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,228 |
5,215 |
$50K |
| 90461 |
|
1,332 |
1,138 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
417 |
415 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,366 |
3,174 |
$35K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
585 |
575 |
$25K |
| 92583 |
|
358 |
357 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
834 |
812 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
446 |
446 |
$10K |
| 96127 |
|
1,485 |
1,475 |
$9K |
| 0072A |
|
83 |
83 |
$4K |
| 99173 |
|
211 |
207 |
$4K |
| 83655 |
|
284 |
283 |
$3K |
| 92552 |
|
113 |
113 |
$3K |
| 0071A |
|
66 |
65 |
$3K |
| 85018 |
|
1,287 |
1,281 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
542 |
533 |
$3K |
| 87400 |
|
213 |
209 |
$3K |
| 90473 |
|
120 |
120 |
$3K |
| 90480 |
|
56 |
51 |
$2K |
| 0073A |
|
17 |
17 |
$779.79 |
| 0081A |
|
13 |
13 |
$390.00 |
| 87807 |
|
27 |
26 |
$324.27 |
| 99172 |
|
26 |
26 |
$256.00 |
| 90686 |
|
2,090 |
2,086 |
$0.00 |
| 91307 |
|
175 |
159 |
$0.00 |
| 90723 |
|
225 |
225 |
$0.00 |
| 90680 |
|
120 |
120 |
$0.00 |
| 90670 |
|
490 |
489 |
$0.00 |
| 90648 |
|
467 |
467 |
$0.00 |
| 90633 |
|
68 |
68 |
$0.00 |
| 99072 |
|
135 |
131 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 91308 |
|
50 |
39 |
$0.00 |