| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,307 |
4,795 |
$282K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,995 |
2,408 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,291 |
1,265 |
$84K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,702 |
3,628 |
$70K |
| X5622 |
|
1,193 |
1,154 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
952 |
910 |
$51K |
| 90461 |
|
1,950 |
1,767 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
357 |
317 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
306 |
299 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,275 |
2,741 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
550 |
507 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
907 |
845 |
$14K |
| 99188 |
|
2,105 |
2,063 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
888 |
413 |
$12K |
| 90677 |
|
207 |
200 |
$11K |
| 87807 |
|
301 |
276 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
147 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
44 |
$2K |
| 96127 |
|
541 |
531 |
$2K |
| 99177 |
|
210 |
209 |
$1K |
| 99072 |
|
185 |
174 |
$1K |
| 83655 |
|
12 |
12 |
$312.12 |
| 92551 |
|
1,119 |
1,094 |
$271.50 |
| 96380 |
|
16 |
15 |
$175.80 |
| 90686 |
|
450 |
444 |
$103.88 |
| 90656 |
|
28 |
28 |
$46.63 |
| 99173 |
|
730 |
708 |
$42.94 |
| 85018 |
|
25 |
24 |
$33.09 |
| 90672 |
|
48 |
36 |
$27.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$20.64 |
| 90698 |
|
344 |
336 |
$0.00 |
| 90680 |
|
268 |
259 |
$0.00 |
| 90697 |
|
169 |
161 |
$0.00 |
| 90744 |
|
26 |
26 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |
| 90633 |
|
171 |
165 |
$0.00 |
| 90670 |
|
587 |
570 |
$0.00 |
| 90710 |
|
51 |
51 |
$0.00 |