| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,843 |
34,012 |
$1.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,612 |
7,292 |
$510K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,863 |
4,852 |
$337K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,941 |
4,531 |
$329K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,251 |
12,032 |
$279K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,861 |
3,848 |
$255K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
19,883 |
19,542 |
$188K |
| 87428 |
|
3,147 |
3,087 |
$186K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,648 |
2,643 |
$176K |
| 99173 |
|
10,663 |
10,632 |
$165K |
| 92551 |
|
11,845 |
11,813 |
$112K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,230 |
7,718 |
$98K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,688 |
9,644 |
$96K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,319 |
1,305 |
$64K |
| 96127 |
|
1,700 |
1,699 |
$17K |
| 87449 |
|
1,808 |
1,462 |
$16K |
| 99188 |
|
245 |
245 |
$7K |
| 94760 |
|
2,494 |
2,353 |
$5K |
| 86756 |
|
358 |
354 |
$5K |
| 0071A |
|
88 |
87 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,418 |
3,400 |
$4K |
| 0072A |
|
76 |
76 |
$3K |
| 90480 |
|
61 |
61 |
$3K |
| 99050 |
|
209 |
203 |
$2K |
| 81002 |
|
747 |
714 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 0001A |
|
16 |
15 |
$733.92 |
| 0002A |
|
12 |
12 |
$550.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
29 |
$318.01 |
| 81025 |
|
41 |
41 |
$243.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
543 |
540 |
$216.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$198.38 |
| 90686 |
|
13 |
13 |
$44.70 |
| 99000 |
|
76 |
76 |
$3.54 |
| 91307 |
|
213 |
208 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
78 |
$0.00 |
| 90461 |
|
170 |
160 |
$0.00 |
| 91300 |
|
58 |
54 |
$0.00 |