| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,348 |
2,021 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
845 |
$69K |
| 96127 |
|
612 |
594 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
85 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
156 |
156 |
$2K |
| 99173 |
|
67 |
67 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
139 |
138 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
56 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$856.35 |
| 90682 |
|
12 |
12 |
$495.00 |
| 92551 |
|
52 |
52 |
$453.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$308.59 |
| 81002 |
|
88 |
88 |
$233.47 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$0.14 |