| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,319 |
1,111 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
761 |
689 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
845 |
578 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
920 |
903 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
830 |
816 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
101 |
86 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
41 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
77 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
44 |
$985.98 |
| 0072A |
|
12 |
12 |
$550.44 |
| 85018 |
|
250 |
250 |
$533.66 |
| 81005 |
|
213 |
208 |
$417.89 |
| 82465 |
|
88 |
88 |
$357.09 |
| 90686 |
|
395 |
394 |
$19.58 |
| 99072 |
|
37 |
32 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 96127 |
|
15 |
15 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |