| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
919 |
906 |
$53K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
448 |
446 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
501 |
496 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
98 |
$8K |
| 90461 |
|
181 |
181 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
707 |
706 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
663 |
542 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
66 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
58 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 99051 |
|
158 |
156 |
$3K |
| 92558 |
|
341 |
341 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
141 |
135 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$2K |
| 99177 |
|
366 |
366 |
$1K |
| 96127 |
|
123 |
121 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$899.80 |
| 0071A |
|
12 |
12 |
$550.56 |
| 0081A |
|
12 |
12 |
$550.56 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$416.13 |
| 99188 |
|
13 |
13 |
$338.00 |