| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,369 |
12,926 |
$642K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
10,771 |
10,250 |
$537K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,832 |
6,337 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,206 |
4,069 |
$258K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,392 |
3,769 |
$246K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,498 |
3,372 |
$207K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,361 |
10,908 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,593 |
1,553 |
$108K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,349 |
6,065 |
$87K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
914 |
890 |
$34K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,384 |
1,172 |
$33K |
| 92551 |
|
5,788 |
5,601 |
$32K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
265 |
262 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,202 |
3,584 |
$22K |
| 99188 |
|
6,773 |
6,642 |
$21K |
| 99460 |
|
410 |
406 |
$21K |
| 96127 |
|
5,327 |
4,278 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,059 |
1,971 |
$16K |
| 99462 |
|
476 |
313 |
$10K |
| 99000 |
|
428 |
415 |
$10K |
| 83655 |
|
855 |
835 |
$9K |
| 36416 |
|
3,045 |
2,918 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,096 |
536 |
$7K |
| 99173 |
|
4,764 |
4,620 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
174 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
749 |
718 |
$4K |
| 80061 |
Lipid panel |
498 |
479 |
$4K |
| 85018 |
|
1,467 |
1,423 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
713 |
689 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 0001A |
|
50 |
50 |
$1K |
| 90670 |
|
2,579 |
2,486 |
$473.63 |
| 81000 |
|
108 |
106 |
$279.02 |
| 90686 |
|
4,958 |
4,827 |
$251.41 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41 |
40 |
$247.99 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$142.18 |
| 88720 |
|
19 |
16 |
$97.09 |
| 90647 |
|
1,632 |
1,580 |
$62.54 |
| 90723 |
|
1,744 |
1,673 |
$2.04 |
| 90633 |
|
1,108 |
1,087 |
$0.34 |
| 90651 |
|
579 |
571 |
$0.21 |
| 90681 |
|
555 |
545 |
$0.12 |
| 90734 |
|
344 |
338 |
$0.02 |
| 90715 |
|
116 |
115 |
$0.01 |
| X5622 |
|
6,647 |
5,731 |
$0.00 |
| 90707 |
|
156 |
156 |
$0.00 |
| 90700 |
|
227 |
219 |
$0.00 |
| 90710 |
|
109 |
108 |
$0.00 |
| 83721 |
|
24 |
24 |
$0.00 |
| 90716 |
|
289 |
288 |
$0.00 |
| 90696 |
|
146 |
144 |
$0.00 |
| 90680 |
|
128 |
126 |
$0.00 |