| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,477 |
7,963 |
$84K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,735 |
3,720 |
$30K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
946 |
936 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
115 |
107 |
$23K |
| 90837 |
Psychotherapy, 53 minutes with patient |
119 |
107 |
$22K |
| 96127 |
|
2,351 |
2,333 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,495 |
1,476 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
156 |
154 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
881 |
847 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,659 |
2,347 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
193 |
186 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
583 |
548 |
$3K |
| 85018 |
|
1,681 |
1,678 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
83 |
$2K |
| 92587 |
|
137 |
123 |
$2K |
| 83655 |
|
128 |
128 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
546 |
546 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
704 |
704 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
43 |
$570.57 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
156 |
$440.82 |
| 99173 |
|
167 |
167 |
$395.48 |
| 87807 |
|
31 |
31 |
$342.48 |
| 90686 |
|
222 |
221 |
$167.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
263 |
263 |
$160.85 |
| 99177 |
|
40 |
40 |
$145.44 |
| 81002 |
|
43 |
42 |
$98.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$97.84 |
| 90656 |
|
79 |
79 |
$35.38 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.95 |
| 90677 |
|
161 |
161 |
$0.00 |
| 99050 |
|
26 |
26 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |
| 90697 |
|
64 |
64 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 99072 |
|
431 |
381 |
$0.00 |
| 90648 |
|
17 |
17 |
$0.00 |
| 90661 |
|
293 |
292 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |