| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,782 |
6,348 |
$390K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,776 |
2,600 |
$271K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,331 |
2,502 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,079 |
1,079 |
$90K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
734 |
720 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
884 |
884 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
550 |
550 |
$49K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,980 |
1,925 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
591 |
572 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,301 |
4,245 |
$45K |
| 90461 |
|
1,036 |
1,035 |
$37K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,906 |
3,887 |
$35K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
931 |
917 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
554 |
549 |
$28K |
| 99173 |
|
1,137 |
1,137 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
806 |
794 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
445 |
444 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
441 |
437 |
$5K |
| 87081 |
|
617 |
606 |
$4K |
| 99177 |
|
346 |
346 |
$3K |
| 83655 |
|
271 |
271 |
$3K |
| 96127 |
|
139 |
130 |
$1K |
| 0072A |
|
19 |
19 |
$871.72 |
| 85018 |
|
262 |
262 |
$591.68 |
| 87070 |
|
41 |
41 |
$561.76 |
| 92551 |
|
61 |
61 |
$550.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$446.55 |
| 0054A |
|
12 |
12 |
$390.00 |
| 82465 |
|
78 |
78 |
$315.78 |
| 94760 |
|
111 |
103 |
$260.48 |
| 81025 |
|
28 |
27 |
$178.08 |
| 81002 |
|
29 |
28 |
$74.53 |
| 99000 |
|
54 |
54 |
$53.00 |