| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,409 |
2,296 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
660 |
628 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,780 |
1,551 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
367 |
367 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
308 |
308 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
235 |
235 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
246 |
245 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
238 |
236 |
$19K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,825 |
1,821 |
$17K |
| 90461 |
|
449 |
444 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,417 |
1,353 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
243 |
241 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
216 |
209 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
243 |
243 |
$6K |
| 96127 |
|
389 |
389 |
$4K |
| 99051 |
|
213 |
211 |
$4K |
| 87634 |
|
30 |
30 |
$2K |
| 85018 |
|
844 |
844 |
$2K |
| 81003 |
|
843 |
809 |
$2K |
| 99173 |
|
73 |
73 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
87 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$429.38 |
| 92587 |
|
21 |
21 |
$363.51 |
| 83655 |
|
24 |
24 |
$265.20 |
| 83718 |
|
16 |
16 |
$115.52 |
| 92551 |
|
13 |
13 |
$109.59 |
| 82465 |
|
16 |
16 |
$61.44 |