| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,832 |
1,708 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
686 |
650 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,328 |
1,032 |
$36K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,385 |
1,372 |
$13K |
| 90461 |
|
288 |
288 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
83 |
83 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
88 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
634 |
634 |
$7K |
| 99050 |
|
230 |
217 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
229 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
177 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
63 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
100 |
$2K |
| 96127 |
|
184 |
182 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
56 |
56 |
$2K |
| 99051 |
|
105 |
104 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 0071A |
|
21 |
21 |
$963.48 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
56 |
$733.37 |
| 94760 |
|
102 |
90 |
$201.96 |
| 87807 |
|
12 |
12 |
$138.60 |