| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,574 |
20,401 |
$1.30M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,564 |
5,417 |
$156K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,171 |
2,087 |
$107K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
10,192 |
10,138 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,302 |
1,195 |
$96K |
| 99173 |
|
2,557 |
2,461 |
$52K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
763 |
748 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
232 |
230 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
199 |
199 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
174 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
979 |
950 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
92 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
191 |
$8K |
| 90461 |
|
624 |
618 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
477 |
477 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
49 |
$5K |
| 94760 |
|
2,200 |
2,092 |
$4K |
| 87081 |
|
657 |
635 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
180 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
46 |
$2K |
| 81002 |
|
514 |
511 |
$1K |
| 90686 |
|
2,589 |
2,588 |
$396.07 |
| 92551 |
|
39 |
39 |
$371.28 |
| 99442 |
|
14 |
14 |
$296.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$293.52 |
| 96127 |
|
35 |
24 |
$126.66 |
| 85018 |
|
12 |
12 |
$24.32 |
| 90661 |
|
12 |
12 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| 99000 |
|
271 |
269 |
$0.00 |
| 88738 |
|
329 |
329 |
$0.00 |
| 91307 |
|
16 |
13 |
$0.00 |