| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,405 |
35,441 |
$2.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,648 |
7,232 |
$541K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,549 |
9,526 |
$227K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,701 |
5,613 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,233 |
3,231 |
$215K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,737 |
2,735 |
$193K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,362 |
12,401 |
$146K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,728 |
2,676 |
$138K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14,537 |
14,477 |
$129K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,002 |
2,001 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,321 |
1,308 |
$99K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,957 |
2,884 |
$91K |
| 99050 |
|
4,763 |
4,596 |
$66K |
| 92552 |
|
2,083 |
2,081 |
$55K |
| 99188 |
|
1,921 |
1,918 |
$49K |
| 90461 |
|
1,755 |
1,750 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,190 |
1,187 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,569 |
2,524 |
$30K |
| 96127 |
|
2,717 |
2,711 |
$28K |
| 87400 |
|
1,928 |
1,902 |
$23K |
| 87081 |
|
2,250 |
2,217 |
$15K |
| 85018 |
|
4,244 |
4,215 |
$9K |
| 81000 |
|
2,859 |
2,794 |
$9K |
| 94760 |
|
3,758 |
3,512 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
203 |
202 |
$5K |
| 99177 |
|
2,315 |
2,307 |
$4K |
| 99173 |
|
162 |
160 |
$3K |
| 99441 |
|
188 |
181 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
162 |
155 |
$1K |
| 87807 |
|
51 |
51 |
$589.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$453.62 |
| 90620 |
|
39 |
39 |
$288.40 |
| 90686 |
|
3,090 |
3,084 |
$183.24 |
| 90734 |
|
49 |
49 |
$0.00 |
| 90670 |
|
648 |
645 |
$0.00 |
| 90648 |
|
507 |
507 |
$0.00 |
| 90633 |
|
121 |
121 |
$0.00 |
| 36416 |
|
575 |
574 |
$0.00 |
| 90697 |
|
41 |
41 |
$0.00 |
| 90651 |
|
103 |
103 |
$0.00 |
| 90680 |
|
151 |
151 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90723 |
|
193 |
193 |
$0.00 |