| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,219 |
3,080 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,448 |
1,357 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
327 |
288 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
89 |
79 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
89 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
235 |
235 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
212 |
211 |
$2K |
| ATP14 |
|
261 |
253 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$443.60 |
| ATP17 |
|
71 |
71 |
$372.98 |
| 90686 |
|
377 |
376 |
$345.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$245.40 |
| 96127 |
|
18 |
18 |
$180.68 |
| ATP08 |
|
31 |
30 |
$104.76 |
| ATP03 |
|
13 |
13 |
$47.95 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
93 |
$5.04 |