| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,420 |
1,379 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
396 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,239 |
1,001 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
226 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
176 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
158 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,201 |
1,200 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
895 |
870 |
$10K |
| 90461 |
|
264 |
244 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
300 |
300 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
78 |
$6K |
| 96127 |
|
353 |
352 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
34 |
34 |
$3K |
| 99051 |
|
109 |
108 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 81003 |
|
501 |
488 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$991.90 |
| 0072A |
|
19 |
19 |
$871.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$683.76 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$615.84 |
| 85018 |
|
278 |
278 |
$600.48 |
| 0071A |
|
13 |
13 |
$596.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$368.10 |
| 99173 |
|
13 |
13 |
$288.86 |
| 83718 |
|
32 |
32 |
$239.36 |
| 83655 |
|
13 |
13 |
$143.65 |
| 82465 |
|
32 |
32 |
$127.04 |
| 92551 |
|
13 |
13 |
$109.59 |