| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,592 |
1,517 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
675 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,325 |
1,164 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
203 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
140 |
140 |
$12K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,281 |
1,278 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
121 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
215 |
212 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
946 |
920 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
105 |
103 |
$8K |
| 90461 |
|
157 |
145 |
$6K |
| 99051 |
|
340 |
332 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
140 |
138 |
$4K |
| 96127 |
|
293 |
293 |
$3K |
| 0072A |
|
53 |
53 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
98 |
98 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
125 |
$2K |
| 87634 |
|
21 |
21 |
$1K |
| 81003 |
|
477 |
470 |
$976.03 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$937.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$920.27 |
| 0071A |
|
16 |
16 |
$734.08 |
| 85018 |
|
265 |
264 |
$567.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$306.75 |
| 99173 |
|
12 |
12 |
$266.64 |
| 92587 |
|
13 |
13 |
$225.03 |