| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267 |
261 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
158 |
158 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
86 |
86 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$3K |
| 90461 |
|
87 |
87 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
30 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
234 |
232 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
134 |
100 |
$1K |
| 92558 |
|
146 |
146 |
$1K |
| 96127 |
|
107 |
106 |
$1K |
| 99051 |
|
44 |
44 |
$728.64 |
| 99177 |
|
133 |
133 |
$494.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$429.45 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$371.40 |
| 99188 |
|
12 |
12 |
$312.00 |