| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,253 |
2,973 |
$160K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,946 |
2,740 |
$117K |
| X5622 |
|
751 |
691 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
478 |
440 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,045 |
979 |
$13K |
| 99000 |
|
1,692 |
1,558 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
898 |
862 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
149 |
134 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
39 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 92551 |
|
437 |
412 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
54 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
127 |
122 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$765.18 |
| 99188 |
|
284 |
283 |
$734.87 |
| 99173 |
|
551 |
519 |
$459.82 |
| 87807 |
|
13 |
12 |
$164.26 |
| 87070 |
|
26 |
24 |
$88.82 |
| 96127 |
|
28 |
28 |
$30.69 |
| 90688 |
|
102 |
101 |
$17.95 |
| 96160 |
|
727 |
701 |
$2.28 |