| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,501 |
2,408 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,270 |
2,146 |
$41K |
| 87428 |
|
652 |
630 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
121 |
103 |
$15K |
| 96127 |
|
1,381 |
961 |
$14K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,917 |
1,914 |
$14K |
| 92551 |
|
725 |
719 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,356 |
753 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
314 |
256 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
256 |
253 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
108 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
27 |
$953.91 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$851.62 |
| 99173 |
|
145 |
145 |
$298.91 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$176.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$119.95 |
| 94760 |
|
66 |
65 |
$109.77 |
| 99177 |
|
12 |
12 |
$45.64 |
| 90661 |
|
110 |
109 |
$0.00 |
| 99072 |
|
96 |
88 |
$0.00 |