| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,426 |
12,935 |
$181K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,799 |
7,746 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,890 |
3,829 |
$40K |
| 96127 |
|
3,840 |
3,773 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,972 |
3,830 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
120 |
116 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,414 |
2,338 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
779 |
770 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
848 |
847 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
538 |
530 |
$4K |
| 85018 |
|
1,900 |
1,888 |
$4K |
| 92587 |
|
208 |
196 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
473 |
473 |
$3K |
| 90480 |
|
81 |
80 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,033 |
1,032 |
$3K |
| 99051 |
|
1,389 |
1,374 |
$2K |
| 99177 |
|
129 |
128 |
$462.41 |
| 99188 |
|
14 |
14 |
$360.10 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$278.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
222 |
$222.20 |
| 96380 |
|
13 |
12 |
$210.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$107.10 |
| 90686 |
|
463 |
463 |
$99.03 |
| 90656 |
|
61 |
61 |
$35.38 |
| 99173 |
|
37 |
37 |
$22.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$12.86 |
| 99072 |
|
791 |
764 |
$0.00 |
| 90661 |
|
452 |
450 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 99000 |
|
110 |
107 |
$0.00 |
| 90697 |
|
31 |
31 |
$0.00 |
| 90677 |
|
100 |
100 |
$0.00 |
| 99050 |
|
28 |
28 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |