| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,883 |
1,812 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,511 |
1,329 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
327 |
319 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
329 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
286 |
286 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
173 |
173 |
$16K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,666 |
1,664 |
$15K |
| 90461 |
|
415 |
405 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,263 |
1,260 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
126 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
106 |
105 |
$9K |
| 96127 |
|
439 |
437 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
79 |
78 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
47 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
80 |
78 |
$2K |
| 81003 |
|
665 |
658 |
$1K |
| 85018 |
|
600 |
600 |
$1K |
| 99173 |
|
55 |
55 |
$1K |
| 0071A |
|
23 |
23 |
$1K |
| 87634 |
|
14 |
14 |
$866.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
69 |
$854.70 |
| 99051 |
|
39 |
39 |
$645.84 |
| 92587 |
|
29 |
29 |
$501.99 |
| 83655 |
|
44 |
44 |
$486.20 |
| 92551 |
|
18 |
18 |
$151.74 |