| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,715 |
5,277 |
$380K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,466 |
2,277 |
$229K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,944 |
4,841 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,448 |
1,434 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,071 |
1,051 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
959 |
951 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
702 |
650 |
$61K |
| 99188 |
|
2,188 |
2,163 |
$57K |
| 99173 |
|
2,544 |
2,517 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,685 |
4,574 |
$48K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,755 |
4,643 |
$45K |
| 90461 |
|
1,524 |
1,495 |
$28K |
| 92551 |
|
2,398 |
2,371 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
545 |
531 |
$19K |
| 83655 |
|
1,365 |
1,355 |
$16K |
| 85018 |
|
3,251 |
3,217 |
$7K |
| 92567 |
|
327 |
318 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
174 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 81002 |
|
535 |
508 |
$1K |
| 96127 |
|
93 |
93 |
$968.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
25 |
$676.11 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$184.65 |
| 90670 |
|
221 |
219 |
$0.00 |
| 90658 |
|
2,283 |
2,261 |
$0.00 |
| 90700 |
|
52 |
50 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 90649 |
|
42 |
42 |
$0.00 |
| 90633 |
|
49 |
49 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90620 |
|
39 |
38 |
$0.00 |
| 90657 |
|
201 |
198 |
$0.00 |
| 90680 |
|
79 |
79 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 90698 |
|
79 |
78 |
$0.00 |