| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,798 |
15,077 |
$648K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,052 |
11,939 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,493 |
3,416 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,168 |
2,136 |
$99K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,228 |
7,179 |
$68K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,482 |
5,856 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
776 |
764 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
898 |
897 |
$28K |
| 96127 |
|
2,237 |
2,231 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
732 |
721 |
$22K |
| 99173 |
|
1,876 |
1,862 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
168 |
168 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
425 |
424 |
$13K |
| 83655 |
|
173 |
173 |
$2K |
| 85018 |
|
829 |
827 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
159 |
$2K |
| 99188 |
|
64 |
64 |
$2K |
| 0071A |
|
36 |
36 |
$2K |
| 96380 |
|
25 |
25 |
$917.40 |
| 94760 |
|
238 |
227 |
$469.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
31 |
$366.11 |
| 87081 |
|
30 |
29 |
$190.24 |
| 90461 |
|
28 |
28 |
$167.94 |
| 90686 |
|
2,811 |
2,794 |
$64.56 |
| 90661 |
|
219 |
208 |
$0.00 |
| 99072 |
|
229 |
223 |
$0.00 |
| 90670 |
|
121 |
119 |
$0.00 |
| 90633 |
|
64 |
64 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |
| 90698 |
|
430 |
430 |
$0.00 |
| 90677 |
|
433 |
432 |
$0.00 |
| 90680 |
|
204 |
204 |
$0.00 |
| 90656 |
|
60 |
60 |
$0.00 |
| 90744 |
|
69 |
69 |
$0.00 |
| 90381 |
|
15 |
15 |
$0.00 |
| 91307 |
|
91 |
89 |
$0.00 |