| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,446 |
2,146 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
787 |
714 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,204 |
1,816 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
420 |
420 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
444 |
423 |
$36K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,137 |
2,097 |
$20K |
| 90461 |
|
501 |
498 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,289 |
1,279 |
$13K |
| 96127 |
|
658 |
644 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
290 |
280 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
133 |
$3K |
| 99177 |
|
53 |
53 |
$2K |
| 99051 |
|
57 |
55 |
$2K |
| 0071A |
|
18 |
18 |
$825.84 |
| 0072A |
|
16 |
16 |
$734.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$507.60 |
| 92552 |
|
14 |
14 |
$362.88 |
| 99173 |
|
13 |
13 |
$288.86 |
| 83655 |
|
15 |
15 |
$187.35 |
| 99188 |
|
12 |
12 |
$169.00 |
| 99000 |
|
155 |
145 |
$154.50 |
| 36416 |
|
15 |
15 |
$135.00 |