| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,050 |
2,875 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,136 |
1,097 |
$104K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,007 |
1,542 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
476 |
476 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
482 |
482 |
$40K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,451 |
2,444 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
210 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
179 |
$16K |
| 90461 |
|
413 |
413 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
275 |
270 |
$14K |
| 96127 |
|
1,264 |
1,264 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
496 |
496 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
906 |
906 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
211 |
206 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
57 |
57 |
$5K |
| 99177 |
|
213 |
213 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
100 |
$1K |
| 83655 |
|
96 |
96 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
90 |
$1K |
| 85018 |
|
405 |
405 |
$943.96 |
| 87634 |
|
14 |
14 |
$866.88 |
| 0071A |
|
16 |
16 |
$734.08 |
| 92587 |
|
14 |
14 |
$703.22 |
| 0154A |
|
12 |
12 |
$550.56 |
| 0072A |
|
12 |
12 |
$550.56 |
| 81002 |
|
188 |
188 |
$494.85 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$384.12 |
| 36416 |
|
38 |
38 |
$361.00 |
| 90473 |
|
14 |
14 |
$286.30 |