| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,477 |
4,960 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,814 |
3,141 |
$39K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,224 |
3,213 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
769 |
755 |
$22K |
| 92587 |
|
709 |
703 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
32 |
27 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
42 |
36 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
155 |
153 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,260 |
1,633 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
216 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
397 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
343 |
343 |
$4K |
| 99460 |
|
30 |
30 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
650 |
594 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
151 |
151 |
$2K |
| 99177 |
|
449 |
448 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$952.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
654 |
654 |
$827.95 |
| 96127 |
|
62 |
49 |
$636.74 |
| 83655 |
|
43 |
43 |
$459.24 |
| 90661 |
|
396 |
395 |
$234.06 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
45 |
$185.00 |
| 85018 |
|
86 |
86 |
$175.56 |
| 90686 |
|
212 |
212 |
$151.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
168 |
163 |
$78.68 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90656 |
|
69 |
69 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90651 |
|
31 |
31 |
$0.00 |
| 99072 |
|
337 |
245 |
$0.00 |