| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
719 |
707 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
325 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
514 |
324 |
$13K |
| 99050 |
|
271 |
266 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
431 |
430 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
40 |
40 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
68 |
68 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
100 |
98 |
$1K |
| 90461 |
|
26 |
26 |
$895.44 |
| 96127 |
|
70 |
70 |
$718.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$715.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
63 |
63 |
$492.67 |
| 36416 |
|
13 |
13 |
$262.50 |
| 94760 |
|
15 |
15 |
$37.95 |