| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
649 |
640 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
357 |
353 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
298 |
298 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
85 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$5K |
| 90461 |
|
136 |
135 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
466 |
368 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
469 |
469 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
159 |
159 |
$3K |
| 92558 |
|
238 |
238 |
$2K |
| 99051 |
|
102 |
102 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99177 |
|
248 |
248 |
$922.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$838.45 |
| 0072A |
|
16 |
16 |
$734.08 |
| 96127 |
|
64 |
58 |
$713.79 |