| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,023 |
6,092 |
$420K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,715 |
1,670 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
223 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
180 |
179 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
153 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
705 |
397 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
391 |
366 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
490 |
474 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$3K |
| 99173 |
|
999 |
985 |
$3K |
| 90686 |
|
400 |
375 |
$2K |
| 3008F |
|
488 |
464 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
228 |
226 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
170 |
166 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
608 |
583 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$1K |
| 96127 |
|
311 |
301 |
$699.27 |
| 92551 |
|
52 |
52 |
$482.08 |
| 90661 |
|
13 |
13 |
$333.30 |
| 90688 |
|
15 |
15 |
$257.10 |
| 86580 |
|
13 |
13 |
$50.06 |