| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
788 |
758 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
265 |
255 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
615 |
553 |
$22K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,025 |
1,021 |
$9K |
| 96127 |
|
414 |
412 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
242 |
237 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
137 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$997.80 |
| 90461 |
|
24 |
24 |
$895.44 |
| 0071A |
|
15 |
15 |
$688.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$674.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$391.36 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
15 |
$352.05 |
| 94760 |
|
28 |
28 |
$70.84 |