| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,067 |
3,857 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,978 |
1,908 |
$181K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,312 |
1,796 |
$74K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,321 |
1,288 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
433 |
433 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
456 |
456 |
$37K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
320 |
312 |
$26K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,622 |
2,616 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
277 |
277 |
$23K |
| 96127 |
|
1,695 |
1,611 |
$23K |
| 99177 |
|
500 |
500 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,246 |
1,214 |
$14K |
| 90461 |
|
323 |
323 |
$12K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
423 |
409 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
259 |
257 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
356 |
356 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
65 |
$5K |
| 92558 |
|
333 |
333 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
336 |
332 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
287 |
197 |
$3K |
| 0071A |
|
47 |
47 |
$2K |
| 0001A |
|
12 |
12 |
$550.56 |
| 0124A |
|
12 |
12 |
$550.56 |
| 99051 |
|
30 |
29 |
$496.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$360.72 |
| 99173 |
|
13 |
13 |
$288.86 |
| 85018 |
|
65 |
65 |
$151.32 |
| 85013 |
|
12 |
12 |
$29.28 |