| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,177 |
7,756 |
$422K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,685 |
2,448 |
$196K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,240 |
1,233 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,074 |
1,068 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
896 |
889 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,294 |
2,914 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,513 |
4,433 |
$45K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,908 |
4,818 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
351 |
347 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
590 |
567 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
926 |
887 |
$12K |
| 96127 |
|
2,493 |
2,403 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
463 |
444 |
$6K |
| 99188 |
|
219 |
216 |
$6K |
| 90461 |
|
363 |
346 |
$4K |
| 0071A |
|
25 |
25 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90686 |
|
1,130 |
1,124 |
$767.08 |
| 81002 |
|
187 |
170 |
$478.34 |
| 87807 |
|
29 |
29 |
$323.40 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$304.98 |
| 94760 |
|
47 |
44 |
$85.43 |
| 90670 |
|
133 |
130 |
$0.00 |
| 90633 |
|
264 |
262 |
$0.00 |
| 90734 |
|
65 |
65 |
$0.00 |
| 90651 |
|
39 |
39 |
$0.00 |
| 90698 |
|
94 |
92 |
$0.00 |
| 91307 |
|
37 |
37 |
$0.00 |
| 99000 |
|
81 |
75 |
$0.00 |