| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,939 |
2,861 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,313 |
1,286 |
$121K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,893 |
2,280 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
710 |
710 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
560 |
560 |
$51K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
315 |
314 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
432 |
432 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
346 |
346 |
$27K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,953 |
2,953 |
$27K |
| 90461 |
|
652 |
650 |
$25K |
| 96127 |
|
1,476 |
1,476 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,295 |
1,293 |
$13K |
| 99173 |
|
471 |
471 |
$10K |
| 99050 |
|
358 |
352 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
387 |
381 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
167 |
167 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
66 |
66 |
$2K |
| 99051 |
|
87 |
87 |
$1K |
| 0071A |
|
22 |
22 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
46 |
$972.52 |
| 0072A |
|
15 |
15 |
$688.20 |
| 83655 |
|
48 |
48 |
$521.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$245.40 |
| 36416 |
|
14 |
14 |
$230.00 |
| 81002 |
|
29 |
29 |
$81.03 |
| 85018 |
|
38 |
38 |
$80.47 |