| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,814 |
2,736 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
901 |
881 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,374 |
1,270 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
294 |
294 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
275 |
275 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
199 |
199 |
$16K |
| 90461 |
|
368 |
364 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,583 |
1,578 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,241 |
1,186 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
155 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
179 |
178 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
389 |
387 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
247 |
246 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$6K |
| 96127 |
|
423 |
420 |
$4K |
| 99051 |
|
239 |
233 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
179 |
$2K |
| 99173 |
|
87 |
87 |
$2K |
| 81003 |
|
575 |
571 |
$1K |
| 92587 |
|
56 |
56 |
$969.36 |
| 85018 |
|
369 |
369 |
$789.20 |
| 87634 |
|
12 |
12 |
$743.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$513.50 |
| 83655 |
|
24 |
23 |
$265.20 |
| 92551 |
|
19 |
19 |
$180.88 |