| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,309 |
2,160 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,423 |
1,046 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
243 |
$28K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,291 |
1,277 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
129 |
129 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
118 |
$10K |
| 90461 |
|
258 |
258 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
698 |
692 |
$7K |
| 99050 |
|
150 |
146 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
107 |
$2K |
| 99051 |
|
121 |
119 |
$2K |
| 96127 |
|
185 |
185 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
36 |
36 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$994.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
71 |
$992.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$927.45 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
36 |
$602.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
45 |
$582.17 |
| 99173 |
|
12 |
12 |
$266.64 |
| 85018 |
|
12 |
12 |
$29.28 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$26.64 |